Pepe, Joanne Wade

Pepe, Joanne Wade is an sole proprietor health care provider with primary practice located at 4104 State Highway 30 , Amsterdam NY 12010-6202. 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. Pepe, Joanne Wade can be contacted via phone (518) 883-8634.

Contact Information

Primary practice address
4104 State Highway 30 Amsterdam NY 12010-6202
Phone: (518) 883-8634
Fax: (518) 883-5653
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X F000446 New York

Profile Details

NPI number 1710958418
LBN Legal business name Pepe, Joanne Wade
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 30th, 2006
Last updated Feb 2nd, 2011 - about 15 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 1710958418 NPPES
New York Other 995013 MVP HEALTHPLAN
New York Other 000406761006 MVP HEALTHPLAN
New York MEDICAID 01281103 MVP HEALTHPLAN

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