Flye, Melvyn W

Flye, Melvyn W is an individual health care provider with primary practice located at 4921 Parkview Pl Suite A Floor 8, Saint Louis MO 63110-1032. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology, Allopathic & Osteopathic Physicians / Vascular Surgery. Allopathic & Osteopathic Physicians / Vascular Surgery is his primary health care specialty. Flye, Melvyn W can be contacted via phone (314) 362-7145.

Contact Information

Primary practice address
4921 Parkview Pl Suite A Floor 8 Saint Louis MO 63110-1032
Phone: (314) 362-7145
Fax: (314) 747-4871
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X R1F49 Missouri
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X R1F49 Missouri

Profile Details

NPI number 1184640401
LBN Legal business name Flye, Melvyn W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 14th, 2006
Last updated Aug 13th, 2010 - about 14 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 1184640401 NPPES
Missouri MEDICAID 202141404

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