Provost, Terra L

Provost, Terra L is an sole proprietor health care provider with primary practice located at 1203 28Th St S , Fargo ND 58103-8711. She recently has only one registered license in Other Service Providers / Naturopath, which is considered as her primary health care specialty. Provost, Terra L can be contacted via phone (218) 303-9003.

Contact Information

Primary practice address
1203 28Th St S Fargo ND 58103-8711
Phone: (218) 303-9003
Fax: (888) 651-4713
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Naturopath 175F00000X 13-1372 Arizona
Other Service Providers / Naturopath 175F00000X ND774 California
Other Service Providers / Naturopath 175F00000X 2017-02 North Dakota

Profile Details

NPI number 1558793034
LBN Legal business name Provost, Terra L
Credentials N.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 6th, 2013
Last updated Sep 10th, 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.

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