Carlson, Melanie Lynn

Carlson, Melanie Lynn is an individual health care provider with primary practice located at 13221 Ravenna Rd Suite 8, Chardon OH 44024-9047. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Carlson, Melanie Lynn can be contacted via phone (440) 286-6155.

Contact Information

Primary practice address
13221 Ravenna Rd Suite 8 Chardon OH 44024-9047
Fax: (440) 286-6156
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 35077011 Ohio

Profile Details

NPI number 1932179272
LBN Legal business name Carlson, Melanie Lynn
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 26th, 2006
Last updated Dec 3rd, 2020 - about 4 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 1932179272 NPPES
Ohio Other 000000201060 ANTHEM
Ohio MEDICAID 2270279 ANTHEM
Ohio Other 080175491 ANTHEM

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