Schneider-Redden, Petra R

Schneider-Redden, Petra R is an individual health care provider with primary practice located at 421 S 28Th Ave , Hattiesburg MS 39401-7236. She recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery, which is considered as her primary health care specialty. Schneider-Redden, Petra R can be contacted via phone (601) 261-3690.

Contact Information

Primary practice address
421 S 28Th Ave Hattiesburg MS 39401-7236
Phone: (601) 261-3690
Fax: (601) 261-3684
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery 2086S0122X 16047 Mississippi

Profile Details

NPI number 1063521607
LBN Legal business name Schneider-Redden, Petra R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 29th, 2006
Last updated Jul 14th, 2020 - about 4 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 1063521607 NPPES
Mississippi Other 1559059 AMERICAN ADMIN GROUP
Mississippi MEDICAID 00119713 AMERICAN ADMIN GROUP

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