Miedema, Edward B
Miedema, Edward B is an individual health care provider with primary practice located at 206 Gamble Dr Suite C, Lincolnton NC 28092-4439. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Miedema, Edward B can be contacted via phone (704) 732-4409.Contact Information
Primary practice address
206 Gamble Dr Suite C
Lincolnton NC 28092-4439
Phone: (704) 732-4409
Fax: (704) 735-5784
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | North Carolina |
Profile Details
| NPI number | 1912908765 |
|---|---|
| LBN Legal business name | Miedema, Edward B |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 2nd, 2005 |
| Last updated | Jan 4th, 2008 - about 16 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 | 1912908765 | NPPES |
| North Carolina | MEDICAID | 89135MK |
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