Andersen, Melanie L
Andersen, Melanie L is an individual health care provider with primary practice located at 700 Lilly Rd Ne , Olympia WA 98506-5115. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Andersen, Melanie L can be contacted via phone (360) 923-7000.Contact Information
Primary practice address
700 Lilly Rd Ne
Olympia WA 98506-5115
Phone: (360) 923-7000
Fax: (360) 923-7089
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | MD60666094 | Washington |
Profile Details
NPI number | 1164798914 |
---|---|
LBN Legal business name | Andersen, Melanie L |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 27th, 2012 |
Last updated | Mar 22nd, 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 | 1164798914 | NPPES |
Washington | MEDICAID | 1164798914 | |
Washington | MEDICAID | 2019365 |
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