Theriault, Michael Edmond

Theriault, Michael Edmond is an individual health care provider with primary practice located at 21 Industrial Blvd , Paoli PA 19301-1610. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Theriault, Michael Edmond can be contacted via phone (610) 647-8000.

Contact Information

Primary practice address
21 Industrial Blvd Paoli PA 19301-1610
Phone: (610) 647-8000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X MD473446 Pennsylvania

Profile Details

NPI number 1083078539
LBN Legal business name Theriault, Michael Edmond
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 11th, 2016
Last updated Nov 3rd, 2021 - about 5 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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