Pheng-Phal, Miadette

Pheng-Phal, Miadette is an individual health care provider with primary practice located at 269 Union St , Lynn MA 01901-1314. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Primary Care, which is considered as her primary health care specialty. Pheng-Phal, Miadette can be contacted via phone (781) 581-3900.

Contact Information

Primary practice address
269 Union St Lynn MA 01901-1314
Phone: (781) 581-3900
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X RN2270203 Massachusetts

Profile Details

NPI number 1073044616
LBN Legal business name Pheng-Phal, Miadette
Credentials NP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 24th, 2017
Last updated Mar 24th, 2017 - about 9 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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