Mellerup, Colleen A
Mellerup, Colleen A is an individual health care provider with primary practice located at 1150 5Th St Suite #267, Coralville IA 52241-2932. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Mellerup, Colleen A can be contacted via phone (319) 341-5933.Contact Information
Primary practice address
1150 5Th St Suite #267
Coralville IA 52241-2932
Phone: (319) 341-5933
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 995 | Iowa |
Profile Details
| NPI number | 1003840117 |
|---|---|
| LBN Legal business name | Mellerup, Colleen A |
| Credentials | LISW |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 11th, 2006 |
| Last updated | Aug 4th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1003840117 | NPPES |
| Iowa | Other | 38484 | WELLMARK BC/BS |
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