Lebouton, Melissa Christine
Lebouton, Melissa Christine is an individual health care provider with primary practice located at 14418 W Meeker Blvd Suite 110, Sun City West AZ 85375-5283. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Lebouton, Melissa Christine can be contacted via phone (623) 584-9500.Contact Information
Primary practice address
14418 W Meeker Blvd Suite 110
Sun City West AZ 85375-5283
Phone: (623) 584-9500
Fax: (623) 584-4945
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 4327 | Arizona |
Profile Details
NPI number | 1144471970 |
---|---|
LBN Legal business name | Lebouton, Melissa Christine |
Credentials | PAC |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 10th, 2008 |
Last updated | Jul 27th, 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 | 1144471970 | NPPES |
Arizona | Other | 4327 | LICENSE |
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