Leite-Carroll, Melanie
Leite-Carroll, Melanie is an individual health care provider with primary practice located at 6726 Canterbury Ln , Eden Prairie MN 55346-2843. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Leite-Carroll, Melanie can be contacted via phone (952) 203-4729.Contact Information
Primary practice address
6726 Canterbury Ln
Eden Prairie MN 55346-2843
Phone: (952) 203-4729
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 4721 | Minnesota |
Profile Details
NPI number | 1154317915 |
---|---|
LBN Legal business name | Leite-Carroll, Melanie |
Credentials | Physical Therapist (PT) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Sep 26th, 2005 |
Last updated | Jul 8th, 2007 - about 17 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 | 1154317915 | NPPES |
Minnesota | Other | HP31029 | HEALTHPARTNERS |
Minnesota | Other | 35T43LE | HEALTHPARTNERS |
Minnesota | Other | 64-00146 | HEALTHPARTNERS |
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