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Contact Information

JOSEPH C THERIAULT, CNM
2142 N COVE BLVD
TOLEDO, OH43606-3895
 Phone: 419-291-8541
 Fax: 419-480-1340
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Advanced Practice Midwife

367A00000X 42 Certified Nurse Midwife
 

Midwife

176B00000X
Indicates primary specialty

NPI Profile & details for JOSEPH C THERIAULT · (Male)

NPI Number 1063410843
Status Active
Credentials CNM (Certified Nurse Midwife)
Entity Individual
Enumeration date 07/14/2005
Last updated 02/19/2014 - About 12 years ago
Sole proprietor 1 No
Identifiers
  • OH License # 04290
  • OH License # NM-04290
  • MI Medicaid 3471545
  • OH Medicaid 2065045
  • OH Other 000000031422 ANTHEM
  • OH Other 344428256 BEECHSTREET
  • OH Other 344428256090 CARESOURCE
  • OH Other 344428256 FRONTPATH
  • OH Other 05225 PARAMOUNT
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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