Provider Demographics
NPI:1932962297
Name:CANFIELD INTEGRATIVE MD, PLLC
Entity Type:Organization
Organization Name:CANFIELD INTEGRATIVE MD, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MARTA
Authorized Official - Middle Name:CHRISTINE
Authorized Official - Last Name:CANFIELD
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:716-913-9387
Mailing Address - Street 1:121 ROLLING HILL RD STE 233
Mailing Address - Street 2:
Mailing Address - City:MOORESVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28117-8856
Mailing Address - Country:US
Mailing Address - Phone:607-228-2945
Mailing Address - Fax:704-386-9591
Practice Address - Street 1:121 ROLLING HILL RD STE 233
Practice Address - Street 2:
Practice Address - City:MOORESVILLE
Practice Address - State:NC
Practice Address - Zip Code:28117-8856
Practice Address - Country:US
Practice Address - Phone:607-228-2945
Practice Address - Fax:704-386-9591
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-31
Last Update Date:2024-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty