Mellerup, Lori
Mellerup, Lori is an individual health care provider with primary practice located at 1 Stackpole Dr , Machias ME 04654-7000. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Mellerup, Lori can be contacted via phone (207) 255-0996.Contact Information
Primary practice address
1 Stackpole Dr
Machias ME 04654-7000
Phone: (207) 255-0996
Fax: (207) 255-8748
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X |
Profile Details
| NPI number | 1558677757 |
|---|---|
| LBN Legal business name | Mellerup, Lori |
| Credentials | MHRT-CSP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 25th, 2010 |
| Last updated | Aug 25th, 2010 - about 14 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 | 1558677757 | NPPES |
| Maine | MEDICAID | 103850000 |
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