Mead, Michelle A.

Mead, Michelle A. is an sole proprietor health care provider with primary practice located at 1221 Mercantile Ln Emergency Department, Upper Marlboro MD 20774-5374. She recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as her primary health care specialty. Mead, Michelle A. can be contacted via phone (301) 816-2424.

Contact Information

Primary practice address
1221 Mercantile Ln Emergency Department Upper Marlboro MD 20774-5374
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X MD32976 District of Columbia
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 56892 Connecticut
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 0101053834 Virginia
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X D0036396 Maryland

Profile Details

NPI number 1689650780
LBN Legal business name Mead, Michelle A.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 20th, 2005
Last updated May 31st, 2021 - about 3 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 1689650780 NPPES
District of Columbia MEDICAID 024557900
District of Columbia Other 44330020

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