Dishaw, Adelle Deborah

Dishaw, Adelle Deborah is an individual health care provider with primary practice located at 2001 N Jefferson Ave , Mount Pleasant TX 75455-2371. 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. Dishaw, Adelle Deborah can be contacted via phone (903) 572-2957.

Contact Information

Primary practice address
2001 N Jefferson Ave Mount Pleasant TX 75455-2371
Phone: (903) 572-2957
Fax: (903) 572-0696
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X 25ME00042001 New Jersey
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X 631819 Texas

Profile Details

NPI number 1699880641
LBN Legal business name Dishaw, Adelle Deborah
Credentials C.N.M.,M.S.N.
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 20th, 2006
Last updated Aug 10th, 2010 - 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 1699880641 NPPES
Texas MEDICAID 140863505
Texas MEDICAID 140863504

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