Macdougall, Theresa Naomi

Macdougall, Theresa Naomi is an individual health care provider with primary practice located at 531 Faunce Corner Rd , Dartmouth MA 02747-1242. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Macdougall, Theresa Naomi can be contacted via phone (508) 996-3991.

Contact Information

Primary practice address
531 Faunce Corner Rd Dartmouth MA 02747-1242
Phone: (508) 996-3991
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X RN284223 Massachusetts
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X APRN03228 Rhode Island
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X SP010165 Pennsylvania

Profile Details

NPI number 1588804686
LBN Legal business name Macdougall, Theresa Naomi
Credentials CERTIFIED NURSE PRAC
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 2nd, 2009
Last updated Feb 8th, 2023 - about last year

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 1588804686 NPPES
Maryland Other 951695 CAREFIRST MD BCBS
Maryland MEDICAID 110171739A CAREFIRST MD BCBS
Maryland Other 1583237 CAREFIRST MD BCBS
Maryland Other 2099584 CAREFIRST MD BCBS

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