Provider Demographics
NPI:1851482533
Name:DESNOYERS SYLVIA, ANNE THERESE (DC)
Entity Type:Individual
Prefix:
First Name:ANNE
Middle Name:THERESE
Last Name:DESNOYERS SYLVIA
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:ANNE
Other - Middle Name:THERESE
Other - Last Name:DESNOYERS SYLVIA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DC
Mailing Address - Street 1:982 KEMPTON STREET
Mailing Address - Street 2:
Mailing Address - City:NEW BEDFORD
Mailing Address - State:MA
Mailing Address - Zip Code:02740
Mailing Address - Country:US
Mailing Address - Phone:508-990-1217
Mailing Address - Fax:508-996-6185
Practice Address - Street 1:982 KEMPTON STREET
Practice Address - Street 2:
Practice Address - City:NEW BEDFORD
Practice Address - State:MA
Practice Address - Zip Code:02740
Practice Address - Country:US
Practice Address - Phone:508-990-1217
Practice Address - Fax:508-996-6185
Is Sole Proprietor?:No
Enumeration Date:2006-09-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA631111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MADEY35438OtherBCBS
MA758682OtherTUFTS HEALTHCARE
MA35366OtherPILGRIM HEALTH
MA11186469OtherCAQH
MA35366OtherPILGRIM HEALTH