Theerman, Michael Robert

Theerman, Michael Robert is an sole proprietor health care provider with primary practice located at 46 Central St , West Boylston MA 01583-1653. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Theerman, Michael Robert can be contacted via phone (508) 835-3934.

Contact Information

Primary practice address
46 Central St West Boylston MA 01583-1653
Phone: (508) 835-3934
Fax: (508) 835-3934
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 38111 Massachusetts

Profile Details

NPI number 1467426080
LBN Legal business name Theerman, Michael Robert
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 13th, 2006
Last updated Jul 5th, 2012 - about 12 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 1467426080 NPPES
Massachusetts Other E21017 BLUE CROSS
Massachusetts Other 23518 BLUE CROSS
Massachusetts Other 64765 BLUE CROSS
Massachusetts Other 4977 BLUE CROSS
Massachusetts MEDICAID 0180629 BLUE CROSS
Massachusetts Other 712458 BLUE CROSS

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