Adachi, Jaymie
Adachi, Jaymie is an individual health care provider with primary practice located at 710 Route 28 , Harwich Port MA 02646-1931. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Adachi, Jaymie can be contacted via phone (508) 432-1400.Contact Information
Primary practice address
710 Route 28
Harwich Port MA 02646-1931
Phone: (508) 432-1400
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 339291 | New York |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 2322504 | Massachusetts |
Profile Details
| NPI number | 1780082180 |
|---|---|
| LBN Legal business name | Adachi, Jaymie |
| Credentials | Family Nurse Practitioner (FNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 17th, 2014 |
| Last updated | May 12th, 2020 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1780082180 | NPPES |
| New York | MEDICAID | 04075292 | |
| New York | MEDICAID | 00695941 |
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