Holmes, Melissa

Holmes, Melissa is an individual health care provider with primary practice located at 19015 S Jodi Rd Ste H , Mokena IL 60448-8534. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as her primary health care specialty. Holmes, Melissa can be contacted via phone (708) 995-5418.

Contact Information

Primary practice address
19015 S Jodi Rd Ste H Mokena IL 60448-8534
Phone: (708) 995-5418
Fax: (832) 804-8886
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X

Profile Details

NPI number 1235906496
LBN Legal business name Holmes, Melissa
Credentials RSA
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 7th, 2023
Last updated Dec 7th, 2023 - about last year

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 1235906496 NPPES
Colorado Other SA.0003122 COLORADO DEPARTMENT OF REGULATORY AGENCIES

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