Andrews, Melanie

Andrews, Melanie is an individual health care provider with primary practice located at 815 Main St Ste A , Peoria IL 61602-1080. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Andrews, Melanie can be contacted via phone (309) 672-4977.

Contact Information

Primary practice address
815 Main St Ste A Peoria IL 61602-1080
Phone: (309) 672-4977
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X 125057613 Illinois
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 254621 Massachusetts

Profile Details

NPI number 1023339603
LBN Legal business name Andrews, Melanie
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 17th, 2010
Last updated Nov 9th, 2017 - 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 1023339603 NPPES
Illinois Other 036130995 LICENSE

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