Provant, Delbert R
Provant, Delbert R is an individual health care provider with primary practice located at 317 W Cherry Ln , Meridian ID 83642-1608. He recently has only one registered license in Dental Providers / Dental Public Health, which is considered as his primary health care specialty. Provant, Delbert R can be contacted via phone (208) 888-2055.Contact Information
Primary practice address
317 W Cherry Ln
Meridian ID 83642-1608
Phone: (208) 888-2055
Fax: (208) 895-0583
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dental Public Health | 1223D0001X | D1223 | Idaho |
Profile Details
| NPI number | 1952472052 |
|---|---|
| LBN Legal business name | Provant, Delbert R |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 11th, 2006 |
| Last updated | Jul 9th, 2007 - about 18 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.
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