Altizer, Melanie Dawn
Altizer, Melanie Dawn is an individual health care provider with primary practice located at 15901 Bass Rd Ste 100 , Fort Myers FL 33908. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Altizer, Melanie Dawn can be contacted via phone (239) 343-6100.Contact Information
Primary practice address
15901 Bass Rd Ste 100
Fort Myers FL 33908
Phone: (239) 343-6100
Fax: (239) 343-9925
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | ME133006 | Florida |
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 0101243301 | Virginia |
Profile Details
| NPI number | 1912102104 |
|---|---|
| LBN Legal business name | Altizer, Melanie Dawn |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 18th, 2007 |
| Last updated | Jul 31st, 2018 - about 6 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 | 1912102104 | NPPES |
| Florida | MEDICAID | 022295100 |
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