Dr. Ariel F Provasoli
Pediatric Chiropractor
2900 Telegraph Ave
Berkeley
, California 94705-2018
Dr. Ariel F Provasoli
Pediatric Chiropractor
2900 Telegraph Ave
Berkeley
, California 94705-2018
(360) 402-4550
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About
Features
Specialties
- Pediatric Chiropractor
Languages spoken
- English
Location
First Address
- Dr. Ariel F Provasoli
- 231 29th St Apt 23
- Oakland, CA
- Zip : 94611-5943
- Phone : (360) 402-4550
Second Address
- Dr. Ariel F Provasoli
- 2900 Telegraph Ave
- Berkeley, CA
- Zip : 94705-2018
- Phone : (360) 402-4550
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 111NP0017X | Pediatric Chiropractor | DC32734 | CA |
National Provider Identifier
| NPI | 1922478155 |
|---|---|
| Provider Name | Dr. Ariel F Provasoli |
| First Address | Oakland, CA 94611-5943 |
| Second Address | Berkeley, CA 94705-2018 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 30/09/2015 |
| Last Update Date | 30/09/2015 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.