Melchiore, Susan
Melchiore, Susan is an individual health care provider with primary practice located at 1919 Lincoln Way Ste 315 , Coeur D Alene ID 83814. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Melchiore, Susan can be contacted via phone (208) 625-6000.Contact Information
Primary practice address
1919 Lincoln Way Ste 315
Coeur D Alene ID 83814
Phone: (208) 625-6000
Fax: (208) 625-6001
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | M6934 | Idaho |
Profile Details
| NPI number | 1588605620 |
|---|---|
| LBN Legal business name | Melchiore, Susan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 9th, 2006 |
| Last updated | Aug 4th, 2019 - about 5 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 | 1588605620 | NPPES |
| Other | P00450794 | MEDICARE RAILROAD CARRIER | |
| MEDICAID | 002789700 | MEDICARE RAILROAD CARRIER |
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