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
Phone: (417) 875-3755
Fax: (417) 875-3295
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1598863045 | NPPES |
Missouri | Other | 2002010564 | STATE LICENSE |
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