Irwin, Melissa M

Irwin, Melissa M is an sole proprietor health care provider with primary practice located at 335 Glessner Ave , Mansfield OH 44903-2269. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is her primary health care specialty. Irwin, Melissa M can be contacted via phone (419) 522-2734.

Contact Information

Primary practice address
335 Glessner Ave Mansfield OH 44903-2269
Phone: (419) 522-2734
Fax: (419) 522-2240
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 50002355 Ohio
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 50.002355 Ohio

Profile Details

NPI number 1437254653
LBN Legal business name Irwin, Melissa M
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 13th, 2006
Last updated Jun 28th, 2019 - 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 1437254653 NPPES
Ohio MEDICAID 0069995
Ohio Other 000000388747

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