Provider Demographics
NPI:1760917082
Name:GREENFIELD INC
Entity Type:Organization
Organization Name:GREENFIELD INC
Other - Org Name:EDWARD CORTRIGHT LMBT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/PRACTIONER
Authorized Official - Prefix:MR
Authorized Official - First Name:EDWARD
Authorized Official - Middle Name:GREENFIELD
Authorized Official - Last Name:CORTRIGHT
Authorized Official - Suffix:III
Authorized Official - Credentials:LMBT
Authorized Official - Phone:828-775-9174
Mailing Address - Street 1:PO BOX 1273
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28802-1273
Mailing Address - Country:US
Mailing Address - Phone:828-775-9174
Mailing Address - Fax:
Practice Address - Street 1:4 ALPINE WAY
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28805-1536
Practice Address - Country:US
Practice Address - Phone:828-775-9174
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-04-24
Last Update Date:2017-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC16064225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Single Specialty