Korish, Melinda M

Korish, Melinda M is an individual health care provider with primary practice located at 1720 W Florist Ave Suite 125, Glendale WI 53209-3800. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Korish, Melinda M can be contacted via phone (414) 247-0801.

Contact Information

Primary practice address
1720 W Florist Ave Suite 125 Glendale WI 53209-3800
Phone: (414) 247-0801
Fax: (414) 247-0816
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 5174-125 Wisconsin

Profile Details

NPI number 1902144116
LBN Legal business name Korish, Melinda M
Credentials PROFESSIONAL COUNSEL
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 22nd, 2013
Last updated Sep 14th, 2022 - about 2 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 1902144116 NPPES
Wisconsin Other 5174-125 LICENSE
Wisconsin Other 5174-125 LICENSE

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