Pepper, Edith

Pepper, Edith is an individual health care provider with primary practice located at 500 N Main St , Randolph MA 02368-6700. She recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as her primary health care specialty. Pepper, Edith can be contacted via phone (781) 885-0466.

Contact Information

Primary practice address
500 N Main St Randolph MA 02368-6700
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X ME84097 Florida
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 49779 Massachusetts

Profile Details

NPI number 1033428495
LBN Legal business name Pepper, Edith
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 4th, 2010
Last updated Jun 13th, 2024 - about last year

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1033428495 NPPES
Massachusetts MEDICAID 6190782

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