Melk, Jonathan Paul

Melk, Jonathan Paul is an individual health care provider with primary practice located at 815 E 15Th Street , Douglas AZ 85607-1631. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Melk, Jonathan Paul can be contacted via phone (520) 364-5437.

Contact Information

Primary practice address
815 E 15Th Street Douglas AZ 85607-1631
Fax: (520) 805-2985
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 35242 Arizona

Profile Details

NPI number 1568496164
LBN Legal business name Melk, Jonathan Paul
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 10th, 2006
Last updated Jun 12th, 2013 - about 11 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 1568496164 NPPES
Arizona MEDICAID 118563

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