Anderson, Melissa D

Anderson, Melissa D is an individual health care provider with primary practice located at 1239 E Main St , Bartow FL 33830-5058. She recently has only one registered license in Other Service Providers / Community Health Worker, which is considered as her primary health care specialty. Anderson, Melissa D can be contacted via phone (863) 519-0575.

Contact Information

Primary practice address
1239 E Main St Bartow FL 33830-5058
Phone: (863) 519-0575
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Community Health Worker 172V00000X

Profile Details

NPI number 1982096319
LBN Legal business name Anderson, Melissa D
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 23rd, 2015
Last updated Mar 3rd, 2015 - about 9 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 1982096319 NPPES
Florida Other 50466 CERTIFIED MENTAL HEALTH PROFESSIONAL

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