Nicodemus, Stephanie
Nicodemus, Stephanie is an individual health care provider with primary practice located at 99 Tavern Rd , Martinsburg WV 25401-2890. She recently has only one registered license in Other Service Providers / Midwife, which is considered as her primary health care specialty. Nicodemus, Stephanie can be contacted via phone (304) 263-4999.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Midwife | 176B00000X | 074 | West Virginia |
Profile Details
| NPI number | 1881696995 |
|---|---|
| LBN Legal business name | Nicodemus, Stephanie |
| Credentials | Certified Nurse Midwife (CNM) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 1st, 2005 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1881696995 | NPPES |
| West Virginia | MEDICAID | 0160089000 |
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