Kistner, Melissa
Kistner, Melissa is an sole proprietor health care provider with primary practice located at 7 Blanchard Cir Suite 201, Wheaton IL 60189-2037. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Kistner, Melissa can be contacted via phone (630) 653-2300.Contact Information
Primary practice address
7 Blanchard Cir Suite 201
Wheaton IL 60189-2037
Phone: (630) 653-2300
Fax: (630) 469-1363
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Professional | 101YP2500X | 180004553 | Illinois |
Profile Details
NPI number | 1245362995 |
---|---|
LBN Legal business name | Kistner, Melissa |
Credentials | |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Mar 9th, 2007 |
Last updated | Aug 26th, 2008 - about 17 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 | 1245362995 | NPPES |
Illinois | Other | 022-15643 | BLUE CROSS/BLUE SHIELD |
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