Provenzano, Christopher Robert
Provenzano, Christopher Robert is an individual health care provider with primary practice located at 45650 Schoenherr Rd , Shelby Township MI 48315-6033. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Nephrology, Allopathic & Osteopathic Physicians / Hypertension Specialist. Allopathic & Osteopathic Physicians / Nephrology is his primary health care specialty. Provenzano, Christopher Robert can be contacted via phone (586) 286-7800.Contact Information
Primary practice address
45650 Schoenherr Rd
Shelby Township MI 48315-6033
Phone: (586) 286-7800
Fax: (586) 286-7804
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | 4301082092 | Michigan |
Allopathic & Osteopathic Physicians / Hypertension Specialist | 207RH0005X | 4301082092 | Michigan |
Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | 49048 | Colorado |
Profile Details
NPI number | 1982876157 |
---|---|
LBN Legal business name | Provenzano, Christopher Robert |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 28th, 2008 |
Last updated | Oct 27th, 2015 - about 10 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1982876157 | NPPES |
Michigan | Other | CP4301082092 | STATE LICENSE |
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