Tetreault, William R
Tetreault, William R is an individual health care provider with primary practice located at 3757 Carman Rd Suite 100, Schenectady NY 12303-5418. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Tetreault, William R can be contacted via phone (518) 355-7063.Contact Information
Primary practice address
3757 Carman Rd Suite 100
Schenectady NY 12303-5418
Phone: (518) 355-7063
Fax: (518) 357-0646
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 170582 | New York |
Profile Details
| NPI number | 1730138603 |
|---|---|
| LBN Legal business name | Tetreault, William R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 9th, 2006 |
| Last updated | Jan 31st, 2018 - about 8 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1730138603 | NPPES |
| New York | Other | 10002034 | CDPHP ID |
| New York | Other | 200199 | CDPHP ID |
| New York | Other | 691931 | CDPHP ID |
| New York | Other | 5691317 | CDPHP ID |
| New York | Other | 08194 | CDPHP ID |
| New York | Other | 47362 | CDPHP ID |
| New York | Other | 070216000069 | CDPHP ID |
| New York | MEDICAID | 01133504 | CDPHP ID |
| New York | Other | 000401102001 | CDPHP ID |
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