Aron Gillum, Melissa
Aron Gillum, Melissa is an individual health care provider with primary practice located at 1501 Kings Hwy Department Of Emergency Medicine, Shreveport LA 71103-4228. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Aron Gillum, Melissa can be contacted via phone (318) 675-6632.Contact Information
Primary practice address
1501 Kings Hwy Department Of Emergency Medicine
Shreveport LA 71103-4228
Phone: (318) 675-6632
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | PA10382RX | Louisiana |
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA.A10382 | Louisiana |
Profile Details
| NPI number | 1679587562 |
|---|---|
| LBN Legal business name | Aron Gillum, Melissa |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 28th, 2006 |
| Last updated | Jul 11th, 2023 - 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 | 1679587562 | NPPES |
| Louisiana | MEDICAID | 1626309 |
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