Maddox, Melissa Jane
Maddox, Melissa Jane is an individual health care provider with primary practice located at 171 Inner Loop Rd , Fort Irwin CA 92310. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Maddox, Melissa Jane can be contacted via phone (999) 999-9999.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dental Hygienist | 124Q00000X | 28438 | California |
Profile Details
| NPI number | 1194197327 |
|---|---|
| LBN Legal business name | Maddox, Melissa Jane |
| Credentials | Registered Dental Hygienist (RDH) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 27th, 2015 |
| Last updated | May 17th, 2022 - about 3 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 | 1194197327 | NPPES |
| California | Other | 28384 | REGISTERED DENTAL HYGIENE LICENSE |
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