Gerdes, Melissa Susan

Gerdes, Melissa Susan is an individual health care provider with primary practice located at 7601 Hospital Dr Ste 103 , Sacramento CA 95823-5408. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Gerdes, Melissa Susan can be contacted via phone (166) 841-6009.

Contact Information

Primary practice address
7601 Hospital Dr Ste 103 Sacramento CA 95823-5408
Phone: (166) 841-6009
Fax: (916) 681-1765
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X K2699 Texas
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X C151203 California

Profile Details

NPI number 1972577286
LBN Legal business name Gerdes, Melissa Susan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 14th, 2006
Last updated Aug 8th, 2020 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1972577286 NPPES
Texas Other 8X9681 BLUE CROSS OF TEXAS
Texas MEDICAID 134290909 BLUE CROSS OF TEXAS

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