Mellen, Jay Robert

Mellen, Jay Robert is an individual health care provider with primary practice located at 3501 N Scottsdale Rd Suite 320, Scottsdale AZ 85251-5648. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Mellen, Jay Robert can be contacted via phone (480) 424-7228.

Contact Information

Primary practice address
3501 N Scottsdale Rd Suite 320 Scottsdale AZ 85251-5648
Fax: (480) 424-7317
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 15628 Arizona

Profile Details

NPI number 1609871979
LBN Legal business name Mellen, Jay Robert
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2005
Last updated Jan 22nd, 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 1609871979 NPPES
Arizona Other 05306 PACIFICARE
Arizona Other IZ5847 PACIFICARE
Arizona Other 860361052 PACIFICARE
Arizona Other 860361052 PACIFICARE
Arizona MEDICAID 250176 PACIFICARE
Arizona Other 626805 PACIFICARE
Arizona Other 860361052 PACIFICARE
Arizona Other 860361052 PACIFICARE
Arizona Other 860361052 PACIFICARE
Arizona MEDICAID 25017602 PACIFICARE
Arizona MEDICAID 3251076 PACIFICARE
Arizona Other 860361052B PACIFICARE
Arizona Other AZ0256070 PACIFICARE
Arizona Other 15448 PACIFICARE
Arizona Other 4275000 PACIFICARE

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