Provost, William A

Provost, William A is an sole proprietor health care provider with primary practice located at 162 S Main St , Colville WA 99114-2406. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, which is considered as his primary health care specialty. Provost, William A can be contacted via phone (509) 684-1420.

Contact Information

Primary practice address
162 S Main St Colville WA 99114-2406
Phone: (509) 684-1420
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X MA0001511 Washington

Profile Details

NPI number 1649317827
LBN Legal business name Provost, William A
Credentials LMP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 30th, 2007
Last updated Jul 8th, 2007 - about 18 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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