Theriault, William Joseph

Theriault, William Joseph is an individual health care provider with primary practice located at 8840 Warner Ave Suite 100, Fountain Valley CA 92708. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, which is considered as his primary health care specialty. Theriault, William Joseph can be contacted via phone (714) 898-0515.

Contact Information

Primary practice address
8840 Warner Ave Suite 100 Fountain Valley CA 92708
Phone: (714) 898-0515
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X 27601 California

Profile Details

NPI number 1366054215
LBN Legal business name Theriault, William Joseph
Credentials MASSAGE PRACTITIONE
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 21st, 2020
Last updated Aug 21st, 2020 - about 6 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 1366054215 NPPES
California Other 27601 MASSAGE PRACTITIONER

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