Bernt, Melissa Rose
Bernt, Melissa Rose is an sole proprietor health care provider with primary practice located at 77 Sw Russell Ave , Stevenson WA 98648-9198. She recently has only one registered license in Other Service Providers / Contractor, which is considered as her primary health care specialty. Bernt, Melissa Rose can be contacted via phone (360) 521-1523.Contact Information
Primary practice address
77 Sw Russell Ave
Stevenson WA 98648-9198
Phone: (360) 521-1523
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Contractor | 171W00000X | MA00020546 | Washington |
Profile Details
| NPI number | 1376084848 |
|---|---|
| LBN Legal business name | Bernt, Melissa Rose |
| Credentials | LMP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 16th, 2017 |
| Last updated | Mar 16th, 2017 - about 7 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 | 1376084848 | NPPES |
| Washington | Other | MA00020546 | CREDENTIALS FOR STATE OF WASHINGTON |
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