Provenzano, Lorraine Ann
Provenzano, Lorraine Ann is an sole proprietor health care provider with primary practice located at 81709 Doctor Carreon Blvd Ste A5 , Indio CA 92201-5509. She recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as her primary health care specialty. Provenzano, Lorraine Ann can be contacted via phone (760) 342-2264.Contact Information
Primary practice address
81709 Doctor Carreon Blvd Ste A5
Indio CA 92201-5509
Phone: (760) 342-2264
Fax: (760) 342-4370
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 16144 | California |
Profile Details
| NPI number | 1063506160 |
|---|---|
| LBN Legal business name | Provenzano, Lorraine Ann |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 3rd, 2006 |
| Last updated | Mar 15th, 2008 - about 16 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 | 1063506160 | NPPES |
| California | Other | DC0161440 | BLUE SHIELD PROVIDER # |
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