Mellor, Charles

Mellor, Charles is an individual health care provider with primary practice located at 75 N Country Rd , Port Jefferson NY 11777-2119. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Mellor, Charles can be contacted via phone (631) 473-1320.

Contact Information

Primary practice address
75 N Country Rd Port Jefferson NY 11777-2119
Phone: (631) 473-1320
Fax: (631) 686-7653
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 004335 New York

Profile Details

NPI number 1114014032
LBN Legal business name Mellor, Charles
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 10th, 2006
Last updated Oct 22nd, 2015 - about 9 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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