Provenza, Faye Philomena

Provenza, Faye Philomena is an individual health care provider with primary practice located at 110 S 9Th Ave , Yakima WA 98902-3315. She recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as her primary health care specialty. Provenza, Faye Philomena can be contacted via phone (509) 575-5061.

Contact Information

Primary practice address
110 S 9Th Ave Yakima WA 98902-3315
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 630 Nevada

Profile Details

NPI number 1053365247
LBN Legal business name Provenza, Faye Philomena
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 20th, 2006
Last updated Jul 8th, 2007 - about 17 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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