Etchison, Melissa Ann

Etchison, Melissa Ann is an individual health care provider with primary practice located at 806 Jackson St , Columbus IN 47201. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Etchison, Melissa Ann can be contacted via phone (812) 748-3412.

Contact Information

Primary practice address
806 Jackson St Columbus IN 47201
Phone: (812) 748-3412
Fax: (812) 748-3413
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 71004130A Indiana

Profile Details

NPI number 1144579848
LBN Legal business name Etchison, Melissa Ann
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 10th, 2012
Last updated Aug 2nd, 2018 - about 7 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 1144579848 NPPES
Indiana MEDICAID 201092460
Indiana Other 000001079109
Indiana Other P01212103

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