Agan, Melissa D
Agan, Melissa D is an individual health care provider with primary practice located at 9880 Angies Way Ste 400 , Louisville KY 40241-2850. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Agan, Melissa D can be contacted via phone (502) 394-6500.Contact Information
Primary practice address
9880 Angies Way Ste 400
Louisville KY 40241-2850
Phone: (502) 394-6500
Fax: (502) 394-1920
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 42037 | Kentucky |
Profile Details
| NPI number | 1619024411 |
|---|---|
| LBN Legal business name | Agan, Melissa D |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 4th, 2007 |
| Last updated | Sep 21st, 2022 - about 2 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 | 1619024411 | NPPES |
| Indiana | MEDICAID | 300050679 | |
| Indiana | MEDICAID | 7100312600 |
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