Individual
JOEL A MIDGETTE SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
1-039206
AL
367500000X
Certified Registered Nurse Anesthetist
134236
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
051552004
—
AL
05
—
09076891
—
MS
01
—
51509784
BCBS
AL
Enumeration date
06/22/2006
Last updated
09/09/2019
Update your record
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