Glass, Melissa Marie

Glass, Melissa Marie is an sole proprietor health care provider with primary practice located at 600 S 13Th St , Pekin IL 61554-4936. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Glass, Melissa Marie can be contacted via phone (309) 347-1151.

Contact Information

Primary practice address
600 S 13Th St Pekin IL 61554-4936
Phone: (309) 347-1151
Fax: (309) 347-6016
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 364SA2200X 277.001921 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 277.001920 Illinois

Profile Details

NPI number 1750833356
LBN Legal business name Glass, Melissa Marie
Credentials APRN-FPA
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 29th, 2016
Last updated May 4th, 2022 - about 3 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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