Derenzo, Melissa A

Derenzo, Melissa A is an individual health care provider with primary practice located at 102 Technology Dr Suite 120, Butler PA 16001-1782. She recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as her primary health care specialty. Derenzo, Melissa A can be contacted via phone (724) 482-0090.

Contact Information

Primary practice address
102 Technology Dr Suite 120 Butler PA 16001-1782
Phone: (724) 482-0090
Fax: (724) 482-0093
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X MD426870 Pennsylvania

Profile Details

NPI number 1346327947
LBN Legal business name Derenzo, Melissa A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 1st, 2006
Last updated Jul 8th, 2007 - about 18 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 1346327947 NPPES
Pw Other 1186970001 DME
Pw Other P00250791 DME
Pw MEDICAID 1013408410003 DME

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