Provenzano, Joseph Johnny
Provenzano, Joseph Johnny is an individual health care provider with primary practice located at 3612 Dale Rd , Modesto CA 95356-0500. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Provenzano, Joseph Johnny can be contacted via phone (209) 522-0146.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 20A5427 | California |
Profile Details
| NPI number | 1215993738 |
|---|---|
| LBN Legal business name | Provenzano, Joseph Johnny |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 24th, 2006 |
| Last updated | Jun 11th, 2019 - about 5 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 | 1215993738 | NPPES |
| California | MEDICAID | 00AX54270 |
Popular Providers
-
Veerappa, Nandeesh
1320 Celeste Dr , Modesto CA 95355-2402 -
Le, Binh Khac
2020 Coffee Rd Suite A3, Modesto CA 95355-2427 -
Montalvo, Raul
1541 Florida Ave Ste 200 , Modesto CA 95350-4438 -
Shiovitz, James Lowell
1320 Celeste Dr , Modesto CA 95355-2402 -
Collins, Jack Lovell
1320 Celeste Dr , Modesto CA 95355-2402 -
Gee, Tiffany Ann
3612 Dale Rd , Modesto CA 95356-0500 -
Brockman, Tracy Lee
1320 Celeste Dr , Modesto CA 95355-2402 -
Yusufzie, Kamalullah
2717 Prosperity Way , Modesto CA 95355-8647