Provenzano, Anthony
Provenzano, Anthony is an individual health care provider with primary practice located at 511 Paladin Dr , Greenville NC 27834-7826. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Provenzano, Anthony can be contacted via phone (252) 752-8880.Contact Information
Primary practice address
511 Paladin Dr
Greenville NC 27834-7826
Phone: (252) 752-8880
Fax: (252) 317-2092
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | 2019-01052 | North Carolina |
Profile Details
| NPI number | 1710371091 |
|---|---|
| LBN Legal business name | Provenzano, Anthony |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 24th, 2015 |
| Last updated | Sep 3rd, 2020 - about 6 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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