Provencher, Elyse

Provencher, Elyse is an sole proprietor health care provider with primary practice located at 2009 Tidewater Colony Way Suite B2, Annapolis MD 21401-2127. She recently has only one registered license in Other Service Providers / Acupuncturist, which is considered as her primary health care specialty. Provencher, Elyse can be contacted via phone (410) 573-1938.

Contact Information

Primary practice address
2009 Tidewater Colony Way Suite B2 Annapolis MD 21401-2127
Phone: (410) 573-1938
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Acupuncturist 171100000X U01477 Maryland

Profile Details

NPI number 1568673192
LBN Legal business name Provencher, Elyse
Credentials L.AC., M.AC.
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 25th, 2007
Last updated Jul 8th, 2007 - about 19 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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