Baker, Melanie Ann
Baker, Melanie Ann is an individual health care provider with primary practice located at 45 Dimock St , Roxbury MA 02119-1208. She recently has only one registered license in Dietary & Nutritional Service Providers / Nutrition, Pediatric, which is considered as her primary health care specialty. Baker, Melanie Ann can be contacted via phone (617) 442-8800.Contact Information
Primary practice address
45 Dimock St
Roxbury MA 02119-1208
Phone: (617) 442-8800
Fax: (617) 442-5840
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dietary & Nutritional Service Providers / Nutrition, Pediatric | 133VN1004X | 2122 | Massachusetts |
Profile Details
| NPI number | 1598894719 |
|---|---|
| LBN Legal business name | Baker, Melanie Ann |
| Credentials | RD, LDN |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 5th, 2007 |
| Last updated | Jan 27th, 2020 - about 4 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 | 1598894719 | NPPES |
| Massachusetts | Other | AA51738 | HPHC |
| Massachusetts | MEDICAID | BE-MT0813 | HPHC |
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