Anderson, Melissa

Anderson, Melissa is an individual health care provider with primary practice located at 9612 E Paseo Juan Tabo , Tucson AZ 85747-5008. She recently has only one registered license in Other Service Providers / Contractor, which is considered as her primary health care specialty. Anderson, Melissa can be contacted via phone (520) 721-1887.

Contact Information

Primary practice address
9612 E Paseo Juan Tabo Tucson AZ 85747-5008
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Contractor 171W00000X

Profile Details

NPI number 1306997317
LBN Legal business name Anderson, Melissa
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 16th, 2007
Last updated Jul 8th, 2007 - about 17 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 1306997317 NPPES
Arizona MEDICAID 3940

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