Mello, Jeffrey A

Mello, Jeffrey A is an individual health care provider with primary practice located at 5301 F St Suite 111, Sacramento CA 95819-3226. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. Mello, Jeffrey A can be contacted via phone (916) 452-8291.

Contact Information

Primary practice address
5301 F St Suite 111 Sacramento CA 95819-3226
Phone: (916) 452-8291
Fax: (916) 452-1733
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA03053 Texas
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 16836 California

Profile Details

NPI number 1245239201
LBN Legal business name Mello, Jeffrey A
Credentials PAC
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 20th, 2005
Last updated Jul 8th, 2007 - about 18 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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Identifiers

StateTypeNumberIssuer
All States NPI 1245239201 NPPES
California MEDICAID GR0046820

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