Mellencamp, Eric

Mellencamp, Eric is an individual health care provider with primary practice located at 1906 Belleview Ave Se , Roanoke VA 24014-1838. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Mellencamp, Eric can be contacted via phone (540) 981-7037.

Contact Information

Primary practice address
1906 Belleview Ave Se Roanoke VA 24014-1838
Phone: (540) 981-7037
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X MD040130E Pennsylvania
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X C10006375 Delaware
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X C1-0006375 Delaware
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X MD040130E Pennsylvania
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 0101243089 Virginia

Profile Details

NPI number 1326048380
LBN Legal business name Mellencamp, Eric
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 29th, 2005
Last updated Feb 8th, 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.

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