Altom, Melissa C

Altom, Melissa C is an individual health care provider with primary practice located at 106 Commerce Dr , Aurora MO 65605-6260. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Altom, Melissa C can be contacted via phone (417) 269-2400.

Contact Information

Primary practice address
106 Commerce Dr Aurora MO 65605-6260
Fax: (417) 269-2410
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 112771 Missouri

Profile Details

NPI number 1588677991
LBN Legal business name Altom, Melissa C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 15th, 2006
Last updated Oct 13th, 2023 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1588677991 NPPES
Missouri MEDICAID 204965602

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