Hale, Melissa Marie

Hale, Melissa Marie is an sole proprietor health care provider with primary practice located at 446 W Cumberland Gap Pkwy , Corbin KY 40701-4819. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Hale, Melissa Marie can be contacted via phone (606) 523-1565.

Contact Information

Primary practice address
446 W Cumberland Gap Pkwy Corbin KY 40701-4819
Phone: (606) 523-1565
Fax: (606) 526-4448
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA1567 Kentucky

Profile Details

NPI number 1063640985
LBN Legal business name Hale, Melissa Marie
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 30th, 2009
Last updated Feb 5th, 2016 - 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 1063640985 NPPES
Kentucky MEDICAID 7100285080
Kentucky Other PA1567
Kentucky Other P01439783

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