Peckham-Devine, Barbara S

Peckham-Devine, Barbara S is an individual health care provider with primary practice located at 500 W Thomas Rd Ste 720&730 , Phoenix AZ 85013-4224. 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. Peckham-Devine, Barbara S can be contacted via phone (602) 406-3715.

Contact Information

Primary practice address
500 W Thomas Rd Ste 720&730 Phoenix AZ 85013-4224
Phone: (602) 406-3715
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X 120003 Nebraska
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X Pennsylvania

Profile Details

NPI number 1265412159
LBN Legal business name Peckham-Devine, Barbara S
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 18th, 2006
Last updated Feb 12th, 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 1265412159 NPPES
Pennsylvania MEDICAID 103470380

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