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
Phone: (781) 488-3303
Fax:
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1457576001 | NPPES |
Massachusetts | Other | J08558 | BLUE CROSS BLUE SHIELD |
Massachusetts | Other | 56769 | BLUE CROSS BLUE SHIELD |
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