Provornov, Nicole
Provornov, Nicole is an sole proprietor health care provider with primary practice located at 4291 Madison Ave , Trumbull CT 06611-2739. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Provornov, Nicole can be contacted via phone (917) 385-7655.Contact Information
Primary practice address
4291 Madison Ave
Trumbull CT 06611-2739
Phone: (917) 385-7655
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | 58022604 | New York |
Profile Details
| NPI number | 1366872129 |
|---|---|
| LBN Legal business name | Provornov, Nicole |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 14th, 2013 |
| Last updated | Mar 10th, 2021 - about 5 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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