Chapman, Melanie Susan

Chapman, Melanie Susan is an individual health care provider with primary practice located at 1405 Kellum St Ste 201 , Fairbanks AK 99701-4189. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Chapman, Melanie Susan can be contacted via phone (907) 452-1761.

Contact Information

Primary practice address
1405 Kellum St Ste 201 Fairbanks AK 99701-4189
Phone: (907) 452-1761
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X ARNP9283382 Florida
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 209008933 Illinois

Profile Details

NPI number 1174827133
LBN Legal business name Chapman, Melanie Susan
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 6th, 2011
Last updated Mar 2nd, 2021 - 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 1174827133 NPPES
Florida Other 59-2420282 TAX ID
Florida MEDICAID 1713806 TAX ID

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