Theriault, Jane

Theriault, Jane is an individual health care provider with primary practice located at 2215 Fuller Rd , Ann Arbor MI 48105-2303. She recently has only one registered license in Nursing Service Providers / Enterostomal Therapy, which is considered as her primary health care specialty. Theriault, Jane can be contacted via phone (180) 055-5121.

Contact Information

Primary practice address
2215 Fuller Rd Ann Arbor MI 48105-2303
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Enterostomal Therapy 163WE0900X 4704162211 Michigan

Profile Details

NPI number 1508126160
LBN Legal business name Theriault, Jane
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date May 16th, 2012
Last updated Feb 12th, 2013 - about 11 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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