Chisam, Melanie

Chisam, Melanie is an individual health care provider with primary practice located at 3800 S National Ave Ste 510 , Springfield MO 65807-5284. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Chisam, Melanie can be contacted via phone (417) 875-3114.

Contact Information

Primary practice address
3800 S National Ave Ste 510 Springfield MO 65807-5284
Phone: (417) 875-3114
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 2005007764 Missouri

Profile Details

NPI number 1225136542
LBN Legal business name Chisam, Melanie
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2006
Last updated Dec 27th, 2018 - about 8 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 1225136542 NPPES
Missouri MEDICAID 1225136542
Missouri MEDICAID 220024592

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