Mellema, James Dale

Mellema, James Dale is an individual health care provider with primary practice located at 101 W 8Th Ave , Spokane WA 99204-2307. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Mellema, James Dale can be contacted via phone (509) 926-1770.

Contact Information

Primary practice address
101 W 8Th Ave Spokane WA 99204-2307
Phone: (509) 926-1770
Fax: (509) 228-9542
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X MD00030673 Washington
Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine 2080P0203X MD00030673 Washington

Profile Details

NPI number 1952351082
LBN Legal business name Mellema, James Dale
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 11th, 2006
Last updated Jul 9th, 2007 - about 17 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 1952351082 NPPES
Washington MEDICAID 8284325
Washington MEDICAID 8188989

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