Berube, Judith A
Berube, Judith A is an individual health care provider with primary practice located at 34 Park St , Hyannis MA 02601-5204. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Berube, Judith A can be contacted via phone (508) 862-5650.Contact Information
Primary practice address
34 Park St
Hyannis MA 02601-5204
Phone: (508) 862-5650
Fax: (508) 778-4753
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 179473 | Massachusetts |
Profile Details
| NPI number | 1063448710 |
|---|---|
| LBN Legal business name | Berube, Judith A |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 24th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1063448710 | NPPES |
| Massachusetts | Other | NP3835 | BCBS PROVIDER NUMBER |
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