Dr. Andre G Theriault , PhD
Contractor • Honolulu, HI
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Andre Theriault has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. Andre Theriault, PhD was a registered Contractor practicing in Honolulu, HI. Throughout an active medical career spanning 3 years, Dr. Theriault provided care at the practice location at 802 PUNAHOU ST APT 705 until profile deactivation on 2017-04-28.
Practice Location & Contact Primary Location
802 Punahou St Apt 705
Honolulu, HI 968263637
Specialty Benchmarks & Practice Insights
Comparative analytics for Contractor in Honolulu, HI
Practicing in Honolulu, HI (60 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 171W00000X
A person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering).
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on April 28, 2017
NPI status registered as active in NPPES database
Registered at 802 PUNAHOU ST APT 705, HONOLULU, HI 968263637 (Tel: 8082953423)
Registered at 802 PUNAHOU ST APT 705, HONOLULU, HI 968263637 (Tel: 8082953423)
Recorded as ANDRE THERIAULT, PHD
Contractor (License #DI 46030 in FL)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
802 Punahou St Apt 705
Honolulu, HI 968263637
Phone: 8082953423
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