Jobgen, Melissa Lynn

Jobgen, Melissa Lynn is an sole proprietor health care provider with primary practice located at 5510 Utica Ridge Rd Ste 100 , Davenport IA 52807-2935. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Jobgen, Melissa Lynn can be contacted via phone (563) 424-2025.

Contact Information

Primary practice address
5510 Utica Ridge Rd Ste 100 Davenport IA 52807-2935
Phone: (563) 424-2025
Fax: (563) 424-2042
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X C-102201 Iowa

Profile Details

NPI number 1205074713
LBN Legal business name Jobgen, Melissa Lynn
Credentials ARNP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 22nd, 2009
Last updated Feb 26th, 2014 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1205074713 NPPES
Iowa MEDICAID 1100782

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