Fish, Melissa

Fish, Melissa is an individual health care provider with primary practice located at 2900 Foxfield Rd , St Charles IL 60174-5799. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Fish, Melissa can be contacted via phone (630) 377-7900.

Contact Information

Primary practice address
2900 Foxfield Rd St Charles IL 60174-5799
Phone: (630) 377-7900
Fax: (630) 377-8007
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 036-134529 Illinois

Profile Details

NPI number 1760776371
LBN Legal business name Fish, Melissa
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 1st, 2011
Last updated Jan 16th, 2015 - about 9 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 1760776371 NPPES
Illinois Other P01387861 MEDICARE RAILROAD
Illinois Other 920540 MEDICARE RAILROAD
Illinois Other CA4748 MEDICARE RAILROAD
Illinois Other F400150549 MEDICARE RAILROAD

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