Theriault, Debra

Theriault, Debra is an individual health care provider with primary practice located at 19 Hodskin St , Canton NY 13617-1175. She recently has only one registered license in Nursing Service Providers / Registered Nurse, which is considered as her primary health care specialty. Theriault, Debra can be contacted via phone (315) 379-1445.

Contact Information

Primary practice address
19 Hodskin St Canton NY 13617-1175
Phone: (315) 379-1445
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 315087 New York

Profile Details

NPI number 1740307156
LBN Legal business name Theriault, Debra
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 23rd, 2007
Last updated Jul 8th, 2007 - about 18 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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