Blacklidge, Melodie
Blacklidge, Melodie is an individual health care provider with primary practice located at 3050 Mack Rd , Fairfield OH 45014-5379. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Blacklidge, Melodie can be contacted via phone (513) 636-8259.Contact Information
Primary practice address
3050 Mack Rd
Fairfield OH 45014-5379
Phone: (513) 636-8259
Fax: (513) 636-6419
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 35055506 | Ohio |
Profile Details
| NPI number | 1689620841 |
|---|---|
| LBN Legal business name | Blacklidge, Melodie |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 26th, 2006 |
| Last updated | Mar 9th, 2015 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1689620841 | NPPES |
| Ohio | MEDICAID | 0699552 |
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