Boltz, Melissa Ann

Boltz, Melissa Ann is an individual health care provider with primary practice located at 2011 Broadway St Ste 130 , Pearland TX 77581-5945. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Boltz, Melissa Ann can be contacted via phone (312) 943-3600.

Contact Information

Primary practice address
2011 Broadway St Ste 130 Pearland TX 77581-5945
Phone: (312) 943-3600
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 146008101 Illinois
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 111577 Texas

Profile Details

NPI number 1598899759
LBN Legal business name Boltz, Melissa Ann
Credentials Surgical Technician (ST)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 16th, 2007
Last updated Jul 21st, 2022 - about 3 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 1598899759 NPPES
Illinois MEDICAID 103034

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