Mellick, Gary A.
Mellick, Gary A. is an individual health care provider with primary practice located at 2525 W University Ave Ste 502 , Muncie IN 47303-3409. He recently has 5 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Sleep Medicine, Allopathic & Osteopathic Physicians / Neurology, Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Clinical Neurophysiology, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Neurology is his primary health care specialty. Mellick, Gary A. can be contacted via phone (765) 751-2600.Contact Information
Primary practice address
2525 W University Ave Ste 502
Muncie IN 47303-3409
Phone: (765) 751-2600
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Sleep Medicine | 2084S0012X | DO1117 | Alabama |
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 02006613A | Indiana |
| Other Service Providers / Specialist | 174400000X | 055142 | Georgia |
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | DO1117 | Alabama |
| Allopathic & Osteopathic Physicians / Clinical Neurophysiology | 2084N0600X | DO1117 | Alabama |
| Other Service Providers / Specialist | 174400000X | 34004503 | Ohio |
| Allopathic & Osteopathic Physicians / Pain Medicine | 2084P2900X | DO1117 | Alabama |
Profile Details
| NPI number | 1780641506 |
|---|---|
| LBN Legal business name | Mellick, Gary A. |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 26th, 2006 |
| Last updated | Jan 14th, 2022 - about 3 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 | 1780641506 | NPPES |
| Ohio | MEDICAID | 078521 |
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