Harris, Melanie Carol

Harris, Melanie Carol is an individual health care provider with primary practice located at 11161 Randolph St , Crown Point IN 46307-8564. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Harris, Melanie Carol can be contacted via phone (219) 662-9424.

Contact Information

Primary practice address
11161 Randolph St Crown Point IN 46307-8564
Phone: (219) 662-9424
Fax: (219) 662-7465
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 036108713 Illinois
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 01058131A Indiana

Profile Details

NPI number 1063565760
LBN Legal business name Harris, Melanie Carol
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 18th, 2007
Last updated Apr 19th, 2023 - about 2 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 1063565760 NPPES
Indiana MEDICAID 2001944601A

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