Fannin, Melissa

Fannin, Melissa is an individual health care provider with primary practice located at 3701 Lansdowne Dr , Ashland KY 41102. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Fannin, Melissa can be contacted via phone (606) 324-3005.

Contact Information

Primary practice address
3701 Lansdowne Dr Ashland KY 41102
Phone: (606) 324-3005
Fax: (606) 329-1530
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 103173 Kentucky

Profile Details

NPI number 1013120054
LBN Legal business name Fannin, Melissa
Credentials LPCC
Entity Individual
Sole proprietor 1 No
Enumeration date May 7th, 2007
Last updated Feb 25th, 2019 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1013120054 NPPES
Other 000000532644 ANTHEM BCBS (NON PAR)
Other 000000532644 ANTHEM BCBS (NON PAR)
Other 12656765 ANTHEM BCBS (NON PAR)
MEDICAID 7100280950 ANTHEM BCBS (NON PAR)

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