Ellerbrock, Melanie S
Ellerbrock, Melanie S is an individual health care provider with primary practice located at 715 Lane Street , Coal Grove OH 45638. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Ellerbrock, Melanie S can be contacted via phone (740) 354-7702.Contact Information
Primary practice address
715 Lane Street
Coal Grove OH 45638
Phone: (740) 354-7702
Fax: (740) 353-1662
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | I00009232 | Ohio |
Profile Details
| NPI number | 1154489979 |
|---|---|
| LBN Legal business name | Ellerbrock, Melanie S |
| Credentials | LISW |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 5th, 2006 |
| Last updated | Jul 9th, 2007 - about 17 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 | 1154489979 | NPPES |
| Ohio | MEDICAID | 0200599 |
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