Alcazar, Melissa

Alcazar, Melissa is an sole proprietor health care provider with primary practice located at 3535 Pentagon Park Blvd Suite 400, Beavercreek OH 45431-1705. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Alcazar, Melissa can be contacted via phone (937) 558-3500.

Contact Information

Primary practice address
3535 Pentagon Park Blvd Suite 400 Beavercreek OH 45431-1705
Fax: (937) 490-2266
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X COA18827NP Ohio

Profile Details

NPI number 1528429750
LBN Legal business name Alcazar, Melissa
Credentials Certified Nurse Practitioner (CNP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 16th, 2016
Last updated Apr 20th, 2016 - about 8 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 1528429750 NPPES
Ohio MEDICAID 0162635

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