Dr. Michael Louis Provenzano is a Andover, Massachusetts based male chiropractor with 28 years of experience in General Chiropractor. He completed his graduation from New York Chiropractic College in 1996. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Dr. Michael Louis Provenzano is 18057 in Massachusetts. Dr. Michael Louis Provenzano is qualified as 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.
Complete Profile:
Dr. Michael Louis Provenzano speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
5799795274
Enrollment ID:
I20060427000612
NPI Number:
1225157423
NPI Enumeration Date:
28 Mar, 2007
NPI Last Update On:
30 Oct, 2023
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Michael Louis Provenzano are as mentioned below.
License Number
Specialization
State
Status
18057
Massachusetts
Primary
2154
General Chiropractor
Massachusetts
Secondary
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Michael Louis Provenzano such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
4400518
Other
Massachusetts
UNITED HEALTH CARE
657211
Other
Massachusetts
HARVARD NON PRACTICE
Y36610
Other
Massachusetts
BLUE CROSS
0017863
Other
Massachusetts
NEIGHBORHOOD HEALTH
B2008591-01
Other
Massachusetts
CIGNA
99428401
Other
Massachusetts
NETWORK HEALTH
3345755
Other
Massachusetts
AETNA
AA42230
Other
Massachusetts
HARVARD PILGRIM
Y39894
Other
Massachusetts
BLUE CROSS
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
16 Haverhill St, Andover, Massachusetts
Zip:
01810-3002
Phone Number:
978-470-1499
Fax Number:
978-470-1408
Patients can reach Dr. Michael Louis Provenzano at 16 Haverhill St, Andover, Massachusetts or can call to book an appointment on 978-374-0700. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.
Comments/ Reviews:
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