Burns, Melissa N

Burns, Melissa N is an individual health care provider with primary practice located at 1300 E Bradford Pkwy , Springfield MO 65804-4264. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Burns, Melissa N can be contacted via phone (417) 761-5000.

Contact Information

Primary practice address
1300 E Bradford Pkwy Springfield MO 65804-4264
Fax: (417) 761-5011
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 2002029838 Missouri

Profile Details

NPI number 1962408872
LBN Legal business name Burns, Melissa N
Credentials MSW, LCSW
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 24th, 2005
Last updated Mar 4th, 2019 - about 5 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 1962408872 NPPES
Missouri Other 13567333 CAQH
Missouri MEDICAID 495369605 CAQH

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