Lada, Melinda Peterson
Lada, Melinda Peterson is an individual health care provider with primary practice located at 400 Shadowline Dr Suite 104, Boone NC 28607-5089. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Lada, Melinda Peterson can be contacted via phone (828) 268-1187.Contact Information
Primary practice address
400 Shadowline Dr Suite 104
Boone NC 28607-5089
Phone: (828) 268-1187
Fax: (828) 262-9728
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 200300057 | North Carolina |
Profile Details
| NPI number | 1437258282 |
|---|---|
| LBN Legal business name | Lada, Melinda Peterson |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 21st, 2006 |
| Last updated | Jun 1st, 2011 - about 13 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 | 1437258282 | NPPES |
| North Carolina | MEDICAID | 89137P4 |
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