Brisebois-Tetrault, Cherie Renee

Brisebois-Tetrault, Cherie Renee is an individual health care provider with primary practice located at 62 Westfield St Ste 2 , West Springfield MA 01089-2539. She recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Specialist/Technologist, Other, which is considered as her primary health care specialty. Brisebois-Tetrault, Cherie Renee can be contacted via phone (413) 733-2499.

Contact Information

Primary practice address
62 Westfield St Ste 2 West Springfield MA 01089-2539
Phone: (413) 733-2499
Fax: (413) 255-0443
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Specialist/Technologist, Other 246Z00000X 1702 Massachusetts
Technologists, Technicians & Other Technical Service Providers / Specialist/Technologist, Other 246Z00000X L-30 Massachusetts
Technologists, Technicians & Other Technical Service Providers / Specialist/Technologist, Other 246Z00000X 547 Connecticut

Profile Details

NPI number 1437618832
LBN Legal business name Brisebois-Tetrault, Cherie Renee
Credentials RE LE
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 15th, 2019
Last updated Jan 30th, 2021 - about 3 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 1437618832 NPPES
Massachusetts Other 1702 ELECTROLOGIST LICENSE NUMBER
Massachusetts Other 547 ELECTROLOGIST LICENSE NUMBER
Massachusetts Other L-30 ELECTROLOGIST LICENSE NUMBER

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