Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. JOHN MARSHALL PROVOST, C.PED
Active Sole ProprietorMR. JOHN MARSHALL PROVOST, C.PED is a Durable Medical Equipment & Medical Supplies healthcare provider located in HAZLETON, Pennsylvania. NPI 1992821920 is currently active in the NPPES registry. Verify at CMS.
Durable Medical Equipment & Medical Supplies · HAZLETON, PA
Registration Details
- NPI Number
- 1992821920
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 21, 2007 (19.446806091246 yrs)
- Last Updated
- Jul 8, 2007
- License
-
4244780002 (PA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
25 LAUREL MALLPROVOST SHOESHAZLETON, PA, 182021201Browse PA providers · Browse ZIP 18202
- Phone
- 5704557704
- Fax
- 5704557704
- Primary Specialty
-
Durable Medical Equipment & Medical Supplies
332B00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.