Provider Demographics
NPI:1871512657
Name:HEBERT, JOYCE MARIE (MD)
Entity Type:Individual
Prefix:DR
First Name:JOYCE
Middle Name:MARIE
Last Name:HEBERT
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:JOYCE
Other - Middle Name:MARIE
Other - Last Name:STRACKS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:140 ACADEMY ST
Mailing Address - Street 2:SUITE 4
Mailing Address - City:PRESQUE ISLE
Mailing Address - State:ME
Mailing Address - Zip Code:04769-3102
Mailing Address - Country:US
Mailing Address - Phone:207-768-5944
Mailing Address - Fax:207-768-3203
Practice Address - Street 1:140 ACADEMY ST
Practice Address - Street 2:SUITE 4
Practice Address - City:PRESQUE ISLE
Practice Address - State:ME
Practice Address - Zip Code:04769-3102
Practice Address - Country:US
Practice Address - Phone:207-768-5944
Practice Address - Fax:207-768-3203
Is Sole Proprietor?:No
Enumeration Date:2006-07-19
Last Update Date:2011-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ME015303207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
ME3319067OtherAETNA HMO
MEM183713OtherCIGNA
MEAS OF 07/01/2005OtherBENEFIT SERVICES
ME001327OtherMARTIN'S POINT
ME7079191OtherAETNA NON-HMO
MEMN4117OtherHARVARD PILGRIM
ME2027300 07OtherUNITED HEALTHCARE
ME060818OtherANTHEM
ME060818OtherANTHEM
MEM183713OtherCIGNA