Theroux, Tina Renee

Theroux, Tina Renee is an sole proprietor health care provider with primary practice located at 103 Worcester St Ste A , North Grafton MA 01536-1050. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Theroux, Tina Renee can be contacted via phone (508) 839-2262.

Contact Information

Primary practice address
103 Worcester St Ste A North Grafton MA 01536-1050
Fax: (508) 839-6556
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 20219 Massachusetts

Profile Details

NPI number 1083796023
LBN Legal business name Theroux, Tina Renee
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 19th, 2006
Last updated Oct 26th, 2022 - 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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