Amir, Melanie Fish

Amir, Melanie Fish is an sole proprietor health care provider with primary practice located at 1329 Main St , Worcester MA 01603-1548. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Amir, Melanie Fish can be contacted via phone (508) 556-6795.

Contact Information

Primary practice address
1329 Main St Worcester MA 01603-1548
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 13260 Massachusetts

Profile Details

NPI number 1629781117
LBN Legal business name Amir, Melanie Fish
Credentials LADC I
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 30th, 2022
Last updated Dec 30th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1629781117 NPPES
Massachusetts MEDICAID 0358

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