Davidson, Melissa Ann

Davidson, Melissa Ann is an individual health care provider with primary practice located at 4613 W Main St , Kalamazoo MI 49006-2645. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Davidson, Melissa Ann can be contacted via phone (269) 488-8672.

Contact Information

Primary practice address
4613 W Main St Kalamazoo MI 49006-2645
Phone: (269) 488-8672
Fax: (269) 488-8673
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 4301056179 Michigan
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 4301056179 Michigan

Profile Details

NPI number 1740259332
LBN Legal business name Davidson, Melissa Ann
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 16th, 2006
Last updated Nov 27th, 2023 - about last year

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 1740259332 NPPES
Other 156671 GREAT LAKES HLTH PLN
Other 5551271 GREAT LAKES HLTH PLN
MEDICAID 487647710 GREAT LAKES HLTH PLN
Other 1103904921 GREAT LAKES HLTH PLN
Other 110C913020 GREAT LAKES HLTH PLN
MEDICAID 4195269 GREAT LAKES HLTH PLN

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