Holt, Melanie Louise
Holt, Melanie Louise is an sole proprietor health care provider with primary practice located at 3004 Edmonton Dr , Sun Prairie WI 53590-4278. She recently has only one registered license in Nursing Service Providers / Registered Nurse, which is considered as her primary health care specialty. Holt, Melanie Louise can be contacted via phone (262) 424-8727.Contact Information
Primary practice address
3004 Edmonton Dr
Sun Prairie WI 53590-4278
Phone: (262) 424-8727
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Registered Nurse | 163W00000X | 176837-30 | Wisconsin |
Profile Details
| NPI number | 1578739025 |
|---|---|
| LBN Legal business name | Holt, Melanie Louise |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 5th, 2008 |
| Last updated | May 21st, 2012 - about 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1578739025 | NPPES |
| Wisconsin | MEDICAID | 35057500 |
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