Theriault, Michael Edmond
Theriault, Michael Edmond is an individual health care provider with primary practice located at 21 Industrial Blvd , Paoli PA 19301-1610. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Theriault, Michael Edmond can be contacted via phone (610) 647-8000.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | MD473446 | Pennsylvania |
Profile Details
| NPI number | 1083078539 |
|---|---|
| LBN Legal business name | Theriault, Michael Edmond |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 11th, 2016 |
| Last updated | Nov 3rd, 2021 - about 3 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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