Fernandez Brandt, Melina
Fernandez Brandt, Melina is an individual health care provider with primary practice located at 255 W Lancaster Ave , Paoli PA 19301-1763. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Fernandez Brandt, Melina can be contacted via phone (484) 565-1000.Contact Information
Primary practice address
255 W Lancaster Ave
Paoli PA 19301-1763
Phone: (484) 565-1000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | M-11397 | Idaho |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 25MA11066600 | New Jersey |
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | MD434479 | Pennsylvania |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MD434479 | Pennsylvania |
Profile Details
| NPI number | 1366605180 |
|---|---|
| LBN Legal business name | Fernandez Brandt, Melina |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 2nd, 2008 |
| Last updated | Aug 17th, 2021 - about 4 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 | 1366605180 | NPPES |
| Pennsylvania | MEDICAID | 1022607630003 | |
| Pennsylvania | Other | 2089028 | |
| Pennsylvania | Other | 3713526000 | |
| Pennsylvania | MEDICAID | 1022607630001 | |
| Pennsylvania | Other | P000805685 | |
| Pennsylvania | MEDICAID | 1022607630002 | |
| Pennsylvania | Other | 30067974 |
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