Wiley, Mylea Nichole
Wiley, Mylea Nichole is an sole proprietor health care provider with primary practice located at 7035 N Chestnut Ave Suite 105, Fresno CA 93720-0352. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is her primary health care specialty. Wiley, Mylea Nichole can be contacted via phone (559) 573-7260.Contact Information
Primary practice address
7035 N Chestnut Ave Suite 105
Fresno CA 93720-0352
Phone: (559) 573-7260
Fax: (559) 573-7254
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | A88917 | California |
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | A88917 | California |
Profile Details
| NPI number | 1275535627 |
|---|---|
| LBN Legal business name | Wiley, Mylea Nichole |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 15th, 2005 |
| Last updated | Sep 28th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1275535627 | NPPES |
| California | MEDICAID | 00A889170 |
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