Whalio Doctors

NPI 1063410843

Joseph C Theriault, CNM

Practitioner Advanced Practice Midwife Toledo, OH

Practice location

Address
2142 N Cove Blvd, Toledo, OH 43606-3895
Phone
(419) 291-8541
Fax
(419) 480-1340

Registered specialties (2)

Advanced Practice Midwife Primary
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367A00000X Licence NM-04290 (OH)
Midwife
Other Service Providers Taxonomy 176B00000X Licence 04290 (OH)

Registry record

NPI
1063410843
Entity type
Individual
Sex (as registered)
Male
NPI issued
14 Jul 2005
Record last updated
19 Feb 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.