Boerio, Melanie
Boerio, Melanie is an individual health care provider with primary practice located at 1316 Old Highway 63 S Suite 200, Columbia MO 65201-6092. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Boerio, Melanie can be contacted via phone (573) 445-4272.Contact Information
Primary practice address
1316 Old Highway 63 S Suite 200
Columbia MO 65201-6092
Phone: (573) 445-4272
Fax: (573) 815-2477
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | 135334 | Missouri |
Profile Details
| NPI number | 1265640783 |
|---|---|
| LBN Legal business name | Boerio, Melanie |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 18th, 2007 |
| Last updated | Mar 26th, 2013 - about 11 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 | 1265640783 | NPPES |
| Missouri | Other | 135334 | STATE LICENSE |
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