Mcinnis, Melinda S

Mcinnis, Melinda S is an individual health care provider with primary practice located at 735 Wilson Street Penobscot Community Health Center/ Extended Care Servic, Brewer ME 04412. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Mcinnis, Melinda S can be contacted via phone (207) 992-2601.

Contact Information

Primary practice address
735 Wilson Street Penobscot Community Health Center/ Extended Care Servic Brewer ME 04412
Fax: (207) 989-2280
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X CNP81598 Maine

Profile Details

NPI number 1699864504
LBN Legal business name Mcinnis, Melinda S
Credentials FNPC
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 11th, 2006
Last updated Oct 11th, 2023 - about last year

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1699864504 NPPES
Maine MEDICAID 432301999

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