Melby, Jennifer

Melby, Jennifer is an sole proprietor health care provider with primary practice located at 6440 Nieman Rd , Shawnee KS 66203-3326. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Melby, Jennifer can be contacted via phone (913) 826-4200.

Contact Information

Primary practice address
6440 Nieman Rd Shawnee KS 66203-3326
Phone: (913) 826-4200
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 3043 Kansas

Profile Details

NPI number 1104348424
LBN Legal business name Melby, Jennifer
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 7th, 2017
Last updated Mar 19th, 2020 - about 4 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 1104348424 NPPES
Kansas MEDICAID 100240930A

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