Bahler, Melinda

Bahler, Melinda is an individual health care provider with primary practice located at 900 Main St Ste 630 , Peoria IL 61602-5024. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Gerontology, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Bahler, Melinda can be contacted via phone (309) 672-4433.

Contact Information

Primary practice address
900 Main St Ste 630 Peoria IL 61602-5024
Phone: (309) 672-4433
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X 209017573 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 209017573 Illinois

Profile Details

NPI number 1033608872
LBN Legal business name Bahler, Melinda
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 8th, 2018
Last updated Jun 23rd, 2022 - about 2 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 1033608872 NPPES
Illinois Other 209017573 LICENSE

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