Slade, Michael Dewayne

Slade, Michael Dewayne is an individual health care provider with primary practice located at 300 E Main St Ste 1000 Uscg Maintenance And Logistics Command Atlanti, Norfolk VA 23510. He recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Technician, Other, which is considered as his primary health care specialty. Slade, Michael Dewayne can be contacted via phone (757) 628-4380.

Contact Information

Primary practice address
300 E Main St Ste 1000 Uscg Maintenance And Logistics Command Atlanti Norfolk VA 23510
Phone: (757) 628-4380
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Technician, Other 247200000X

Profile Details

NPI number 1407946965
LBN Legal business name Slade, Michael Dewayne
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 13th, 2006
Last updated Jul 8th, 2007 - about 19 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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