Mellor, Greg

Mellor, Greg is an individual health care provider with primary practice located at 1630 E Herndon Ave , Fresno CA 93720-3305. 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, Greg can be contacted via phone (559) 256-5200.

Contact Information

Primary practice address
1630 E Herndon Ave Fresno CA 93720-3305
Phone: (559) 256-5200
Fax: (559) 256-5376
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA16213 California

Profile Details

NPI number 1487637468
LBN Legal business name Mellor, Greg
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 23rd, 2005
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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Identifiers

StateTypeNumberIssuer
All States NPI 1487637468 NPPES
California Other 0170215 STATE OF WASHINGTON

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