Middleton, Joanne P

Middleton, Joanne P is an sole proprietor health care provider with primary practice located at 119 Beach 129 St , Rockaway Park NY 11694. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Midwife, Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology. Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology is her primary health care specialty. Middleton, Joanne P can be contacted via phone (718) 486-7374.

Contact Information

Primary practice address
119 Beach 129 St Rockaway Park NY 11694
Phone: (718) 486-7374
Fax: (718) 486-6927
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Midwife 176B00000X F000385 New York
Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology 363LX0001X F360200-1 New York

Profile Details

NPI number 1346242708
LBN Legal business name Middleton, Joanne P
Credentials CNM, NP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 15th, 2005
Last updated Nov 4th, 2014 - about 12 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 1346242708 NPPES
New York MEDICAID 00810980

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