Therriault, Susan L

Therriault, Susan L is an individual health care provider with primary practice located at 240 S Main St , Wolfeboro NH 03894-4411. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Therriault, Susan L can be contacted via phone (603) 569-7574.

Contact Information

Primary practice address
240 S Main St Wolfeboro NH 03894-4411
Phone: (603) 569-7574
Fax: (603) 569-7582
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 9132 New Hampshire

Profile Details

NPI number 1548219157
LBN Legal business name Therriault, Susan L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 9th, 2006
Last updated Sep 30th, 2013 - about 12 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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Identifiers

StateTypeNumberIssuer
All States NPI 1548219157 NPPES
New Hampshire MEDICAID 3084294
New Hampshire Other RE306802

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