Martin, Melissa A
Martin, Melissa A is an individual health care provider with primary practice located at 940 N Waco Ave , Wichita KS 67203-3947. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Martin, Melissa A can be contacted via phone (316) 660-7550.Contact Information
Primary practice address
940 N Waco Ave
Wichita KS 67203-3947
Phone: (316) 660-7550
Fax: (316) 383-8241
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X |
Profile Details
| NPI number | 1972556306 |
|---|---|
| LBN Legal business name | Martin, Melissa A |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 18th, 2006 |
| 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 | 1972556306 | NPPES |
| Kansas | Other | 389928 | BLUE CROSS BLUE SHIELD |
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