Melancon, Diane Marie
Melancon, Diane Marie is an individual health care provider with primary practice located at 2596 F Rd , Grand Junction CO 81505-1443. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Melancon, Diane Marie can be contacted via phone (970) 254-3180.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | DR.0043829 | Colorado |
Profile Details
| NPI number | 1205836426 |
|---|---|
| LBN Legal business name | Melancon, Diane Marie |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 29th, 2005 |
| Last updated | Nov 24th, 2015 - about 9 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 | 1205836426 | NPPES |
| Colorado | MEDICAID | 47729732 |
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