Wadley, Fredia Stovall

Wadley, Fredia Stovall is an sole proprietor health care provider with primary practice located at 100 S Hanson St , Easton MD 21601-2920. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Agencies / Public Health or Welfare. Agencies / Public Health or Welfare is her primary health care specialty. Wadley, Fredia Stovall can be contacted via phone (410) 819-5606.

Contact Information

Primary practice address
100 S Hanson St Easton MD 21601-2920
Phone: (410) 819-5606
Fax: (410) 819-4703
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X D0066574 Maryland
Agencies / Public Health or Welfare 251K00000X

Profile Details

NPI number 1356793863
LBN Legal business name Wadley, Fredia Stovall
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 8th, 2016
Last updated Jul 8th, 2016 - about 8 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 1356793863 NPPES
Maryland Other M87082 STATE OF MARYLAND CDS NUMBER

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