Canfield, Bryan

Canfield, Bryan is an individual health care provider with primary practice located at 1475 W Grand Ave , Port Washington WI 53074-2074. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Canfield, Bryan can be contacted via phone (262) 268-5100.

Contact Information

Primary practice address
1475 W Grand Ave Port Washington WI 53074-2074
Phone: (262) 268-5100
Fax: (262) 329-2731
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 4880 Wisconsin

Profile Details

NPI number 1528002904
LBN Legal business name Canfield, Bryan
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 2006
Last updated Sep 20th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1528002904 NPPES
Wisconsin MEDICAID 1528002904
Wisconsin MEDICAID 40405900

Popular Providers