Decoteau, Melissa Marie
Decoteau, Melissa Marie is an sole proprietor health care provider with primary practice located at 1708 24Th Ave S Apt 3 , Grand Forks ND 58201-6237. She recently has only one registered license in Nursing Service Related Providers / Homemaker, which is considered as her primary health care specialty. Decoteau, Melissa Marie can be contacted via phone (701) 215-1226.Contact Information
Primary practice address
1708 24Th Ave S Apt 3
Grand Forks ND 58201-6237
Phone: (701) 215-1226
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Related Providers / Homemaker | 376J00000X | DEC892488 | North Dakota |
Profile Details
| NPI number | 1699379602 |
|---|---|
| LBN Legal business name | Decoteau, Melissa Marie |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 30th, 2020 |
| Last updated | Nov 30th, 2020 - about 4 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 | 1699379602 | NPPES |
| North Dakota | MEDICAID | 1474632 |
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