Charlebois, Melissa A

Charlebois, Melissa A is an individual health care provider with primary practice located at 826 Washington St Suite 204, Watertown NY 13601-4063. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Charlebois, Melissa A can be contacted via phone (315) 788-1751.

Contact Information

Primary practice address
826 Washington St Suite 204 Watertown NY 13601-4063
Phone: (315) 788-1751
Fax: (315) 788-9021
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 0102671 New York

Profile Details

NPI number 1275529554
LBN Legal business name Charlebois, Melissa A
Credentials RPA C
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 22nd, 2005
Last updated Jul 8th, 2007 - about 18 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 1275529554 NPPES
New York MEDICAID 02634577

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