Chism, Melissa A
Chism, Melissa A is an individual health care provider with primary practice located at 20-20 Fair Lawn Ave , Fair Lawn NJ 07410-2300. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Chism, Melissa A can be contacted via phone (201) 791-4545.Contact Information
Primary practice address
20-20 Fair Lawn Ave
Fair Lawn NJ 07410-2300
Phone: (201) 791-4545
Fax: (201) 791-3709
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 25MA63410 | New Jersey |
Profile Details
| NPI number | 1861459596 |
|---|---|
| LBN Legal business name | Chism, Melissa A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 27th, 2006 |
| Last updated | Dec 15th, 2011 - about 14 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1861459596 | NPPES |
| New Jersey | MEDICAID | 7533101 |
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