Ellis, Melanie Jane

Ellis, Melanie Jane is an individual health care provider with primary practice located at 359 Medical Group 221 Thrid Street West, Bldg 1040, Jbsa-Randolph TX 78150. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Ellis, Melanie Jane can be contacted via phone (210) 652-8544.

Contact Information

Primary practice address
359 Medical Group 221 Thrid Street West, Bldg 1040 Jbsa-Randolph TX 78150
Phone: (210) 652-8544
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA10003433 Washington

Profile Details

NPI number 1043395874
LBN Legal business name Ellis, Melanie Jane
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 27th, 2006
Last updated May 1st, 2018 - about 6 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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