Johnston, Melinda M

Johnston, Melinda M is an sole proprietor health care provider with primary practice located at 730 W Market St Ste 2K , Lima OH 45801-4602. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as her primary health care specialty. Johnston, Melinda M can be contacted via phone (419) 996-4011.

Contact Information

Primary practice address
730 W Market St Ste 2K Lima OH 45801-4602
Fax: (419) 996-4012
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 50.001122 Ohio

Profile Details

NPI number 1275889206
LBN Legal business name Johnston, Melinda M
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 27th, 2012
Last updated Nov 5th, 2020 - about 5 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 1275889206 NPPES
Ohio MEDICAID 0069367

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