Mingo, Alfie Edward

Mingo, Alfie Edward is an individual health care provider with primary practice located at 8118 Good Luck Rd , Lanham MD 20706-3595. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Mingo, Alfie Edward can be contacted via phone (301) 552-8665.

Contact Information

Primary practice address
8118 Good Luck Rd Lanham MD 20706-3595
Phone: (301) 552-8665
Fax: (301) 552-8665
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X D0060545 Maryland
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 4301098748 Michigan

Profile Details

NPI number 1578508149
LBN Legal business name Mingo, Alfie Edward
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 18th, 2006
Last updated Nov 22nd, 2013 - about 12 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 1578508149 NPPES
Michigan Other 12142821 CAQH

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