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
Phone: (301) 816-2424
Fax:
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1689650780 | NPPES |
District of Columbia | MEDICAID | 024557900 | |
District of Columbia | Other | 44330020 |
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