Henne, Melinda B

Henne, Melinda B is an individual health care provider with primary practice located at 14540 Old Saint Augustine Rd Ste 2503 , Jacksonville FL 32258. She recently has only one registered license in Allopathic & Osteopathic Physicians / Reproductive Endocrinology, which is considered as her primary health care specialty. Henne, Melinda B can be contacted via phone (904) 262-5992.

Contact Information

Primary practice address
14540 Old Saint Augustine Rd Ste 2503 Jacksonville FL 32258
Phone: (904) 262-5992
Fax: (904) 262-5558
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Reproductive Endocrinology 207VE0102X ME131549 Florida

Profile Details

NPI number 1255438636
LBN Legal business name Henne, Melinda B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2006
Last updated Oct 19th, 2018 - about 6 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 1255438636 NPPES
Florida Other K0UWU BCBS
Florida MEDICAID 020761500 BCBS

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