Jedlica, Michele Teresa

Jedlica, Michele Teresa is an individual health care provider with primary practice located at 404 Westwood Ave Ste 103, High Point NC 27262-4315. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Jedlica, Michele Teresa can be contacted via phone (336) 889-6564.

Contact Information

Primary practice address
404 Westwood Ave Ste 103 High Point NC 27262-4315
Phone: (336) 889-6564
Fax: (336) 889-5252
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 9901213 North Carolina

Profile Details

NPI number 1629132576
LBN Legal business name Jedlica, Michele Teresa
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 21st, 2006
Last updated Jul 8th, 2007 - about 17 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 1629132576 NPPES
North Carolina MEDICAID 89126WY

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