Melisko, Michelle Elizabeth
Melisko, Michelle Elizabeth is an individual health care provider with primary practice located at 1600 Divisadero Street , San Francisco CA 94143-0001. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Medical Oncology. Allopathic & Osteopathic Physicians / Medical Oncology is her primary health care specialty. Melisko, Michelle Elizabeth can be contacted via phone (415) 353-7070.Contact Information
Primary practice address
1600 Divisadero Street
San Francisco CA 94143-0001
Phone: (415) 353-7070
Fax: (415) 353-9898
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | A66224 | California |
| Allopathic & Osteopathic Physicians / Medical Oncology | 207RX0202X | A66224 | California |
Profile Details
| NPI number | 1306803812 |
|---|---|
| LBN Legal business name | Melisko, Michelle Elizabeth |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 27th, 2006 |
| Last updated | Aug 4th, 2023 - about 2 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 | 1306803812 | NPPES |
| California | MEDICAID | 0A6622400 |
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