Provider Demographics
NPI:1619658762
Name:ADVANCING SIMPLICITY LLC
Entity Type:Organization
Organization Name:ADVANCING SIMPLICITY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:VINCENT
Authorized Official - Middle Name:MICHEL
Authorized Official - Last Name:DUFORT
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:833-569-1347
Mailing Address - Street 1:PO BOX 1132
Mailing Address - Street 2:
Mailing Address - City:WOLFEBORO FLS
Mailing Address - State:NH
Mailing Address - Zip Code:03896-1132
Mailing Address - Country:US
Mailing Address - Phone:833-569-1347
Mailing Address - Fax:833-569-1347
Practice Address - Street 1:35 CENTER ST STE 8
Practice Address - Street 2:
Practice Address - City:WOLFEBORO
Practice Address - State:NH
Practice Address - Zip Code:03894-4324
Practice Address - Country:US
Practice Address - Phone:833-569-1347
Practice Address - Fax:833-569-1347
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-31
Last Update Date:2023-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Single Specialty