Breault, Teresa

Breault, Teresa is an individual health care provider with primary practice located at 7 High St , North Berwick ME 03906-6100. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Breault, Teresa can be contacted via phone (207) 676-8559.

Contact Information

Primary practice address
7 High St North Berwick ME 03906-6100
Phone: (207) 676-8559
Fax: (207) 676-0982
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 015101 Maine

Profile Details

NPI number 1447211073
LBN Legal business name Breault, Teresa
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 31st, 2006
Last updated Feb 13th, 2012 - about 13 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 1447211073 NPPES
Maine MEDICAID 241850099

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