Provenzano, Jay A
Provenzano, Jay A is an sole proprietor health care provider with primary practice located at 25 School St Suite B-2, Quincy MA 02169-6607. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Provenzano, Jay A can be contacted via phone (617) 689-0440.Contact Information
Primary practice address
25 School St Suite B-2
Quincy MA 02169-6607
Phone: (617) 689-0440
Fax: (617) 689-0420
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 2886 | Massachusetts |
Profile Details
| NPI number | 1114095304 |
|---|---|
| LBN Legal business name | Provenzano, Jay A |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 4th, 2006 |
| Last updated | Jun 9th, 2010 - about 14 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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