Theriault, Jordan
Theriault, Jordan is an sole proprietor health care provider with primary practice located at 200 Universal Dr N , North Haven CT 06473-3156. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Theriault, Jordan can be contacted via phone (203) 859-3491.Contact Information
Primary practice address
200 Universal Dr N
North Haven CT 06473-3156
Phone: (203) 859-3491
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacist | 183500000X | PCT.0013290 | Connecticut |
Profile Details
| NPI number | 1295109734 |
|---|---|
| LBN Legal business name | Theriault, Jordan |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 20th, 2015 |
| Last updated | Nov 20th, 2015 - about 9 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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