Stoddard, Sophie Tyler

Stoddard, Sophie Tyler is an sole proprietor health care provider with primary practice located at 543 North St , New Bedford MA 02740-2782. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Stoddard, Sophie Tyler can be contacted via phone (508) 973-2208.

Contact Information

Primary practice address
543 North St New Bedford MA 02740-2782
Phone: (508) 973-2208
Fax: (508) 973-1225
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X RN279342 Massachusetts

Profile Details

NPI number 1760647531
LBN Legal business name Stoddard, Sophie Tyler
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 22nd, 2008
Last updated Apr 27th, 2020 - about 5 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 1760647531 NPPES
Massachusetts MEDICAID 110080340A

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