Ekholm, Melinda Cecile

Ekholm, Melinda Cecile is an individual health care provider with primary practice located at 3994 Colville Rd , Loon Lake WA 99148-9789. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Primary Care. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Ekholm, Melinda Cecile can be contacted via phone (509) 233-8412.

Contact Information

Primary practice address
3994 Colville Rd Loon Lake WA 99148-9789
Phone: (509) 233-8412
Fax: (509) 233-2864
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X AP30005591 Washington
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X RN00082739 Washington

Profile Details

NPI number 1912008988
LBN Legal business name Ekholm, Melinda Cecile
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 25th, 2006
Last updated Mar 31st, 2008 - about 16 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 1912008988 NPPES
Washington MEDICAID 9629320
Washington Other 143010

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