Perry, Jodi Blythe

Perry, Jodi Blythe is an individual health care provider with primary practice located at 200 Ter Heun Dr , Falmouth MA 02540-2525. She recently has only one registered license in Behavioral Health & Social Service Providers / Family, which is considered as her primary health care specialty. Perry, Jodi Blythe can be contacted via phone (508) 540-6550.

Contact Information

Primary practice address
200 Ter Heun Dr Falmouth MA 02540-2525
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Family 103TF0000X

Profile Details

NPI number 1891355533
LBN Legal business name Perry, Jodi Blythe
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 2019
Last updated Jun 15th, 2019 - about 6 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1891355533 NPPES
Massachusetts MEDICAID 1

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