Halvorson, Melanie

Halvorson, Melanie is an sole proprietor health care provider with primary practice located at 4760 Woodmere Blvd , Montgomery AL 36106-3065. She recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as her primary health care specialty. Halvorson, Melanie can be contacted via phone (334) 288-0814.

Contact Information

Primary practice address
4760 Woodmere Blvd Montgomery AL 36106-3065
Fax: (334) 288-3417
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 00019879 Alabama

Profile Details

NPI number 1265438527
LBN Legal business name Halvorson, Melanie
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 22nd, 2005
Last updated Feb 19th, 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 1265438527 NPPES
Alabama MEDICAID 000033781
Alabama MEDICAID 000040637
Alabama Other 390004990
Alabama MEDICAID 000033782
Alabama Other 51040637HAL
Alabama Other 51033781HAL
Alabama Other 51033782HAL
Alabama Other 3110016
Alabama Other F49427

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