Koumentakos, Melanie Jean
Koumentakos, Melanie Jean is an individual health care provider with primary practice located at 113 Elm St Suite 304, Enfield CT 06082. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Koumentakos, Melanie Jean can be contacted via phone (860) 741-2225.Contact Information
Primary practice address
113 Elm St Suite 304
Enfield CT 06082
Phone: (860) 741-2225
Fax: (860) 741-2229
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 001905 | Connecticut |
Profile Details
| NPI number | 1295925956 |
|---|---|
| LBN Legal business name | Koumentakos, Melanie Jean |
| Credentials | PA C |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 30th, 2007 |
| Last updated | Mar 27th, 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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