Provider Demographics
NPI:1902932908
Name:CANSON, ALAIN IAN I
Entity Type:Individual
Prefix:MR
First Name:ALAIN IAN
Middle Name:I
Last Name:CANSON
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2350 UNION ST APT 9
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94123-3920
Mailing Address - Country:US
Mailing Address - Phone:415-441-1575
Mailing Address - Fax:
Practice Address - Street 1:2350 UNION ST APT 9
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94123-3920
Practice Address - Country:US
Practice Address - Phone:415-441-1575
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes372600000XNursing Service Related ProvidersAdult Companion