Provenzano, Jerome A

Provenzano, Jerome A is an individual health care provider with primary practice located at 12655 Warwick Blvd , Newport News VA 23606-2501. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Provenzano, Jerome A can be contacted via phone (757) 595-9880.

Contact Information

Primary practice address
12655 Warwick Blvd Newport News VA 23606-2501
Phone: (757) 595-9880
Fax: (757) 595-0362
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 0101048791 Virginia

Profile Details

NPI number 1891760039
LBN Legal business name Provenzano, Jerome A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 21st, 2006
Last updated Feb 7th, 2020 - about 4 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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