Anderson, Melissa Diane
Anderson, Melissa Diane is an individual health care provider with primary practice located at 5510 S East St Ste H , Indianapolis IN 46227-1939. She recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as her primary health care specialty. Anderson, Melissa Diane can be contacted via phone (317) 924-8425.Contact Information
Primary practice address
5510 S East St Ste H
Indianapolis IN 46227-1939
Phone: (317) 924-8425
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | 01065758A | Indiana |
Profile Details
| NPI number | 1871753152 |
|---|---|
| LBN Legal business name | Anderson, Melissa Diane |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 11th, 2008 |
| Last updated | May 31st, 2022 - about 3 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 | 1871753152 | NPPES |
| Indiana | Other | P0084590 | RAIL ROAD MEDICARE |
| Indiana | MEDICAID | 200911340 | RAIL ROAD MEDICARE |
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