Redman, Michelle Lisa

Redman, Michelle Lisa is an individual health care provider with primary practice located at 1404 Willow Ln Greenway Healthcare, North Wilkesboro NC 28659-3584. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Redman, Michelle Lisa can be contacted via phone (336) 667-0335.

Contact Information

Primary practice address
1404 Willow Ln Greenway Healthcare North Wilkesboro NC 28659-3584
Phone: (336) 667-0335
Fax: (336) 667-4434
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 200001262 North Carolina

Profile Details

NPI number 1598857039
LBN Legal business name Redman, Michelle Lisa
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 29th, 2006
Last updated Aug 1st, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1598857039 NPPES
North Carolina MEDICAID 89127H8
North Carolina Other 2280816D
North Carolina Other 2335816

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