Brumwell, Melanie Marie
Brumwell, Melanie Marie is an individual health care provider with primary practice located at 3000 32Nd Ave S , Fargo ND 58103-6132. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Anesthesiology. Allopathic & Osteopathic Physicians / Anesthesiology is her primary health care specialty. Brumwell, Melanie Marie can be contacted via phone (701) 364-8000.Contact Information
Primary practice address
3000 32Nd Ave S
Fargo ND 58103-6132
Phone: (701) 364-8000
Fax: (701) 364-8078
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 12454 | North Dakota |
Profile Details
| NPI number | 1699947929 |
|---|---|
| LBN Legal business name | Brumwell, Melanie Marie |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 26th, 2008 |
| Last updated | Mar 8th, 2022 - about 2 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 | 1699947929 | NPPES |
| North Dakota | MEDICAID | 1459226 | |
| North Dakota | MEDICAID | 17090 |
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