DR. D.C.,D.P.T Michael Louis Provenzano, NPI 1225157423
Chiropractor in Andover, MA, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1225157423
NPI Entity Type Individual
Provider Name DR. D.C.,D.P.T Michael Louis Provenzano
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Provider Location Address 16 Haverhill St, Andover, MA, US
Provider Mailing Address 493 Essex St, Lawrence, MA, US, 018401241
Is Sole Proprietor? No
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Primary Taxonomy

Taxonomy Code

111N00000X

Taxonomy Name Chiropractor
Classification

Chiropractor

Group

Chiropractic Providers

License No. 2154
License State MA
Description A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

Other Name

DR. D.C.,D.P.T Michael Louis Provenzano
Former Name

Business Address

DR. D.C.,D.P.T Michael Louis Provenzano
16 Haverhill St

Andover, MA, US

Phone: 978-374-0700
Fax: 978-374-6052

Mailing Address

DR. D.C.,D.P.T Michael Louis Provenzano
493 Essex St
Lawrence, MA, US
ZIP 018401241
Phone: 978-686-7111
Fax: 978-686-5502

Secondary Taxonomies

Taxonomy Code Group Classification License No. State Primary?

225100000X

Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Physical Therapist

18057 MA No

Other Identifiers

Identifier Identifier State Identifier Issuer Type/Code
3345755 MA AETNA 01
Y36610 MA BLUE CROSS 01
Y39894 MA BLUE CROSS 01
99428401 MA NETWORK HEALTH 01
657211 MA HARVARD NON PRACTICE 01
4400518 MA UNITED HEALTH CARE 01
AA42230 MA HARVARD PILGRIM 01
B2008591-01 MA CIGNA 01
0017863 MA NEIGHBORHOOD HEALTH 01

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MISS WHNP Megan Eileen Fickes

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10 Carematrix Dr

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