Bock, Melissa Hines

Bock, Melissa Hines is an individual health care provider with primary practice located at 37 West Garden St Suite 206, Auburn NY 13021. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Family. Nursing Service Providers / Registered Nurse is her primary health care specialty. Bock, Melissa Hines can be contacted via phone (315) 255-6938.

Contact Information

Primary practice address
37 West Garden St Suite 206 Auburn NY 13021
Fax: (315) 253-4056
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 4593571 New York
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X F331298 New York

Profile Details

NPI number 1003980384
LBN Legal business name Bock, Melissa Hines
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 20th, 2006
Last updated Jul 8th, 2007 - about 17 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 1003980384 NPPES
New York MEDICAID 01470144

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