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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124437132 NPPES
Massachusetts Other 6854 ACVREP

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