Mellette, Jay Dee

Mellette, Jay Dee is an individual health care provider with primary practice located at 980 Kelly Johnson Dr , Las Vegas NV 89119-3785. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as his primary health care specialty. Mellette, Jay Dee can be contacted via phone (702) 352-0200.

Contact Information

Primary practice address
980 Kelly Johnson Dr Las Vegas NV 89119-3785
Phone: (702) 352-0200
Fax: (702) 891-1707
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X 0506040 Nevada

Profile Details

NPI number 1033173372
LBN Legal business name Mellette, Jay Dee
Credentials Athletic Trainer, Certified (ATC)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 13th, 2006
Last updated Jul 8th, 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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