David, Melissa Marie

David, Melissa Marie is an individual health care provider with primary practice located at 2489 Trautner Dr , Saginaw MI 48604-9596. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. David, Melissa Marie can be contacted via phone (989) 791-2020.

Contact Information

Primary practice address
2489 Trautner Dr Saginaw MI 48604-9596
Fax: (989) 791-2083
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 4901003962 Michigan

Profile Details

NPI number 1205887171
LBN Legal business name David, Melissa Marie
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 15th, 2006
Last updated Nov 29th, 2011 - about 13 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 1205887171 NPPES
Michigan Other 900Z965110 BLUE CROSS BLUE SHIELD

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