Tetreault, Michelle M

Tetreault, Michelle M is an sole proprietor health care provider with primary practice located at 163 Water St The Merrill Block, Exeter NH 03833-2424. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Tetreault, Michelle M can be contacted via phone (603) 772-0626.

Contact Information

Primary practice address
163 Water St The Merrill Block Exeter NH 03833-2424
Phone: (603) 772-0626
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 628 New Hampshire
Behavioral Health & Social Service Providers / Clinical 1041C0700X 107700 Massachusetts

Profile Details

NPI number 1407071962
LBN Legal business name Tetreault, Michelle M
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 17th, 2007
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1407071962 NPPES
New Hampshire MEDICAID 30009201

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