Icasiano, Melodie M
Icasiano, Melodie M is an individual health care provider with primary practice located at Madigan Army Medical Center Bldg 9040 Fitzsimmons Dr., Tacoma WA 98431-0001. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Icasiano, Melodie M can be contacted via phone (253) 968-1740.Contact Information
Primary practice address
Madigan Army Medical Center Bldg 9040 Fitzsimmons Dr.
Tacoma WA 98431-0001
Phone: (253) 968-1740
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | MD00042886 | Washington |
Profile Details
| NPI number | 1003882978 |
|---|---|
| LBN Legal business name | Icasiano, Melodie M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 28th, 2006 |
| Last updated | Apr 22nd, 2016 - about 8 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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