Medrano, Melanie Ann

Medrano, Melanie Ann is an sole proprietor health care provider with primary practice located at 307 York St Second Floor, Jersey City NJ 07302-5003. She recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as her primary health care specialty. Medrano, Melanie Ann can be contacted via phone (201) 369-9757.

Contact Information

Primary practice address
307 York St Second Floor Jersey City NJ 07302-5003
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X 22DI02000400 New Jersey

Profile Details

NPI number 1932273851
LBN Legal business name Medrano, Melanie Ann
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 20th, 2006
Last updated Jul 8th, 2007 - about 18 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1932273851 NPPES
New Jersey MEDICAID 7319002

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