Vaillancourt, Amber
Vaillancourt, Amber is an individual health care provider with primary practice located at 830 Chalkstone Ave , Providence RI 02908-4734. She recently has only one registered license in Eye and Vision Services Providers / Vision Therapy, which is considered as her primary health care specialty. Vaillancourt, Amber can be contacted via phone (401) 273-7100.Contact Information
Primary practice address
830 Chalkstone Ave
Providence RI 02908-4734
Phone: (401) 273-7100
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Eye and Vision Services Providers / Vision Therapy | 152WV0400X | COMS 6854 | Massachusetts |
Profile Details
NPI number | 1124437132 |
---|---|
LBN Legal business name | Vaillancourt, Amber |
Credentials | M. ED. COMS |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 5th, 2014 |
Last updated | Aug 5th, 2014 - about 10 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 | 1124437132 | NPPES |
Massachusetts | Other | 6854 | ACVREP |
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