Anderson, Melissa

Anderson, Melissa is an individual health care provider with primary practice located at 3800 S National Ave Fl 4 , Springfield MO 65807-5209. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as her primary health care specialty. Anderson, Melissa can be contacted via phone (417) 875-3755.

Contact Information

Primary practice address
3800 S National Ave Fl 4 Springfield MO 65807-5209
Fax: (417) 875-3295
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 2002010564 Missouri

Profile Details

NPI number 1598863045
LBN Legal business name Anderson, Melissa
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2006
Last updated Jul 24th, 2012 - about 13 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 1598863045 NPPES
Missouri Other 2002010564 STATE LICENSE

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