Boll, Melissa A
Boll, Melissa A is an individual health care provider with primary practice located at 5121 S Cottonwood St , Murray UT 84107-5701. She recently has only one registered license in Other Service Providers / Midwife, which is considered as her primary health care specialty. Boll, Melissa A can be contacted via phone (801) 507-7070.Contact Information
Primary practice address
5121 S Cottonwood St
Murray UT 84107-5701
Phone: (801) 507-7070
Fax: (801) 507-7089
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Midwife | 176B00000X | 5713781-4402 | Utah |
Profile Details
| NPI number | 1124080775 |
|---|---|
| LBN Legal business name | Boll, Melissa A |
| Credentials | Certified Nurse Midwife (CNM) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 6th, 2006 |
| Last updated | Oct 16th, 2013 - about 12 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 | 1124080775 | NPPES |
| Utah | MEDICAID | D5743 |
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