Theriault, Joseph C

Theriault, Joseph C is an individual health care provider with primary practice located at 2142 N Cove Blvd , Toledo OH 43606-3895. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Midwife, Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife. Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife is his primary health care specialty. Theriault, Joseph C can be contacted via phone (419) 291-8541.

Contact Information

Primary practice address
2142 N Cove Blvd Toledo OH 43606-3895
Phone: (419) 291-8541
Fax: (419) 480-1340
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Midwife 176B00000X 04290 Ohio
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X NM-04290 Ohio

Profile Details

NPI number 1063410843
LBN Legal business name Theriault, Joseph C
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 14th, 2005
Last updated Feb 19th, 2014 - about 10 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1063410843 NPPES
Ohio Other 000000031422 ANTHEM
Ohio MEDICAID 2065045 ANTHEM
Ohio Other 05225 ANTHEM
Ohio MEDICAID 3471545 ANTHEM
Ohio Other 344428256 ANTHEM
Ohio Other 344428256 ANTHEM
Ohio Other 344428256090 ANTHEM

Popular Providers