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
Fax: (630) 469-1363
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1245362995 NPPES
Illinois Other 022-15643 BLUE CROSS/BLUE SHIELD

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