House, Melissa Ray
House, Melissa Ray is an sole proprietor health care provider with primary practice located at 900 N Westmoreland Rd Ste 112 , Lake Forest IL 60045-1674. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Midwife, Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife. Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife is her primary health care specialty. House, Melissa Ray can be contacted via phone (847) 535-7057.Contact Information
Primary practice address
900 N Westmoreland Rd Ste 112
Lake Forest IL 60045-1674
Phone: (847) 535-7057
Fax: (847) 615-2260
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Other Service Providers / Midwife | 176B00000X | 209016864 | Illinois |
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife | 367A00000X | 209016864 | Illinois |
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife | 367A00000X | 277001224 | Illinois |
Profile Details
NPI number | 1134632516 |
---|---|
LBN Legal business name | House, Melissa Ray |
Credentials | APRN, CNM, WHNP-BC |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Nov 8th, 2017 |
Last updated | Sep 16th, 2022 - 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1134632516 | NPPES |
Illinois | MEDICAID | PENDING |
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