Hattemer, Therese Ida

Hattemer, Therese Ida is an sole proprietor health care provider with primary practice located at 108 Churchill Ave , Arlington MA 02476-7822. She recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as her primary health care specialty. Hattemer, Therese Ida can be contacted via phone (781) 488-3303.

Contact Information

Primary practice address
108 Churchill Ave Arlington MA 02476-7822
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 56769 Massachusetts

Profile Details

NPI number 1457576001
LBN Legal business name Hattemer, Therese Ida
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 16th, 2007
Last updated Jul 8th, 2007 - about 17 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 1457576001 NPPES
Massachusetts Other J08558 BLUE CROSS BLUE SHIELD
Massachusetts Other 56769 BLUE CROSS BLUE SHIELD

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