Kouba, Melissa Miller

Kouba, Melissa Miller is an individual health care provider with primary practice located at One Hospital Drive , Columbia MO 65212-0001. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Adolescent Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Kouba, Melissa Miller can be contacted via phone (573) 884-9066.

Contact Information

Primary practice address
One Hospital Drive Columbia MO 65212-0001
Phone: (573) 884-9066
Fax: (573) 884-3037
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 2001009493 Missouri
Allopathic & Osteopathic Physicians / Adolescent Medicine 2080A0000X 2001009493 Missouri

Profile Details

NPI number 1780614495
LBN Legal business name Kouba, Melissa Miller
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 5th, 2006
Last updated Mar 11th, 2013 - about 11 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 1780614495 NPPES
Missouri Other 147494 BLUESHIELD/BLUE CHOICE
Missouri Other 464041 BLUESHIELD/BLUE CHOICE
Missouri MEDICAID 205363906 BLUESHIELD/BLUE CHOICE
Missouri Other 405522 BLUESHIELD/BLUE CHOICE

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