Frietchen, Mellissa Rae

Frietchen, Mellissa Rae is an individual health care provider with primary practice located at 1246 E Walnut Lawn St , Springfield MO 65804-4202. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthotist, which is considered as her primary health care specialty. Frietchen, Mellissa Rae can be contacted via phone (417) 755-7430.

Contact Information

Primary practice address
1246 E Walnut Lawn St Springfield MO 65804-4202
Phone: (417) 755-7430
Fax: (417) 755-7431
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthotist 222Z00000X

Profile Details

NPI number 1720502750
LBN Legal business name Frietchen, Mellissa Rae
Credentials CERTIFIED ORTHOTIST
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 1st, 2017
Last updated Aug 1st, 2017 - about 8 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 1720502750 NPPES
Missouri MEDICAID 622556702

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