Peabody, Sharon
Peabody, Sharon is an sole proprietor health care provider with primary practice located at 25 Messalonskee Ave , Waterville ME 04901-5206. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Peabody, Sharon can be contacted via phone (207) 873-4281.Contact Information
Primary practice address
25 Messalonskee Ave
Waterville ME 04901-5206
Phone: (207) 873-4281
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | SP548 | Maine |
Profile Details
| NPI number | 1760799340 |
|---|---|
| LBN Legal business name | Peabody, Sharon |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 3rd, 2010 |
| Last updated | Sep 3rd, 2010 - about 15 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 | 1760799340 | NPPES |
| Maine | MEDICAID | 611592446 |
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