MS. THERESA MAE LABRECQUE


Address: 285 Ellendale Cir, Springfield, MA 01128-1148
Phone: 4133133076

MS. THERESA MAE LABRECQUE (NPI# 1720260581) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1720260581
Entity Type Individual
Full Name MS. THERESA MAE LABRECQUE
Credential MS, PA-C
Practice Address 285 Ellendale Cir
Springfield
MA 01128-1148
Practice Telephone 4133133076
Mailing Telephone 4133133076
Enumeration Date 2007-12-03
Last Update Date 2009-08-26
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AS0400X Physician Assistant
Specialization: Surgical Technologist
1076651 MA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 285 ELLENDALE CIR
City SPRINGFIELD
State MA
Zip Code 01128-1148

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1982664173 Sai L Kadiyala Dentist 367 Cooley Street, Springfield, MA 01128 2006-03-23
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1952432890 Yolanda Rivera Counselor 14 Berard Cir, Springfield, MA 01128-1004 2007-03-09
1609420975 Danielle Taylor Cassista Occupational Therapist 47 Teakwood Rd, Springfield, MA 01128-1056 2019-07-25
1639545056 Aditiya Kumar Pharmacist 381 Cooley St, Springfield, MA 01128-1113 2015-08-19
1164521449 Maxi Drug Inc Durable Medical Equipment & Medical Supplies 381 Cooley Street, Springfield, MA 01128-1113 2006-09-22
1821601105 Kevin Patrick Keough Pharmacist 381 Cooley St, Springfield, MA 01128-1113 2020-08-26
1295250413 Walgreen Co Durable Medical Equipment & Medical Supplies 381 Cooley St, Springfield, MA 01128-1113 2017-08-09
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Taxonomy Information

Taxonomy Code 363AS0400X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Surgical Technologist

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1629592225 Justin William Starling Physician Assistant 1515 Keys Ave, Springfield, IL 62702-2933 2017-07-26
1710435011 Alexander Andersen Physician Assistant 445 Harlow Rd Ste 200, Springfield, OR 97477-1341 2016-09-14
1932538980 Emily Baecher Physician Assistant 2 Medical Cetner Dr, Suite 205, Springfield, MA 01199-1619 2013-11-09
1699114421 Lauren M Kendall Physician Assistant 960 N 16th St Ste 108, Springfield, OR 97477-4175 2013-06-14
1750660148 Daniel Francis Reilly Jr. Physician Assistant 2 Medical Center Dr Ste 308, Springfield, MA 01107-1271 2011-08-16
1831499383 Christin Wolak Physician Assistant 300 Birnie Ave Ste 201, Springfield, MA 01107-1121 2010-11-01
1811200710 Jessica Anne White Physician Assistant 25 Ridgewood Rd., Esne, Springfield, VT 05156 2010-07-20
1043540669 Kristen Dawn Dodd Physician Assistant 960 N 16th St Ste 207, Springfield, OR 97477-4175 2010-01-04
1831337765 Cynthia R. Krinochkin Physician Assistant 3801 S. National, 5th Floor, Springfield, MO 65807-5210 2009-01-30
1578746079 Jamie Moore Physician Assistant 2 Medical Center Drive Suite 503, Springfield, MA 01199-0001 2007-12-07
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Competitor

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City SPRINGFIELD
Zip Code 01128

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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