Adolphe, Mirley Fredleen
Adolphe, Mirley Fredleen is an individual health care provider with primary practice located at 1665 Woodbrooke Dr , Salisbury MD 21804-8502. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Adolphe, Mirley Fredleen can be contacted via phone (410) 546-6650.Contact Information
Primary practice address
1665 Woodbrooke Dr
Salisbury MD 21804-8502
Phone: (410) 546-6650
Fax: (410) 546-2656
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | C0009275 | Maryland |
Profile Details
| NPI number | 1518720861 |
|---|---|
| LBN Legal business name | Adolphe, Mirley Fredleen |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 31st, 2024 |
| Last updated | Mar 20th, 2024 - about last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1518720861 | NPPES |
| Maryland | MEDICAID | 119591300 |
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