Stephanie Berube

Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Seekonk, MA

NPI 1831531649 · NPPES record last updated Jul 22, 2013

Key facts

NPI
1831531649
Entity type
Individual (NPI type 1)
Primary specialty
Student in an Organized Health Care Education/Training Program 390200000X
Practice address
123 Sherman Ave
Seekonk, MA 02771-4913
Phone
(774) 417-0446
NPI assigned
Jul 22, 2013
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Yes

Addresses

Primary practice location

123 Sherman Ave
Seekonk, MA 02771-4913

Mailing address

123 Sherman Ave
Seekonk, MA 02771-4913
Phone (774) 417-0446

Other providers in Seekonk, MA

All providers in Seekonk, MA · Student in an Organized Health Care Education/Training Program in Massachusetts

Sources for this page

Verify at the official NPI Registry.