Theroux, Deana Marie
Theroux, Deana Marie is an individual health care provider with primary practice located at 795 Middle St , Fall River MA 02721-1733. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics. Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics is her primary health care specialty. Theroux, Deana Marie can be contacted via phone (508) 235-5285.Contact Information
Primary practice address
795 Middle St
Fall River MA 02721-1733
Phone: (508) 235-5285
Fax: (508) 678-6905
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 2003-00716 | North Carolina |
| Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics | 2080P0006X | 235054 | Massachusetts |
Profile Details
| NPI number | 1134200033 |
|---|---|
| LBN Legal business name | Theroux, Deana Marie |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 18th, 2006 |
| Last updated | Aug 11th, 2009 - about 15 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1134200033 | NPPES |
| North Carolina | MEDICAID | 891347G |
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