Dacosta, Melissa

Dacosta, Melissa is an individual health care provider with primary practice located at 1290 Silas Deane Hwy 2Nd Floor, Wethersfield CT 06109-4337. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is her primary health care specialty. Dacosta, Melissa can be contacted via phone (860) 972-5098.

Contact Information

Primary practice address
1290 Silas Deane Hwy 2Nd Floor Wethersfield CT 06109-4337
Phone: (860) 972-5098
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X Connecticut
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 3670 Connecticut

Profile Details

NPI number 1487100079
LBN Legal business name Dacosta, Melissa
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 1st, 2016
Last updated Nov 17th, 2016 - about 9 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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