Mellott, John Eric
Mellott, John Eric is an sole proprietor health care provider with primary practice located at 27700 Medical Center Rd , Mission Viejo CA 92691-6426. 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. Mellott, John Eric can be contacted via phone (949) 364-1400.Contact Information
Primary practice address
27700 Medical Center Rd
Mission Viejo CA 92691-6426
Phone: (949) 364-1400
Fax: (949) 365-4941
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA16897 | California |
Profile Details
| NPI number | 1023041902 |
|---|---|
| LBN Legal business name | Mellott, John Eric |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 7th, 2006 |
| Last updated | Jun 27th, 2008 - about 16 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 | 1023041902 | NPPES |
| California | MEDICAID | PA16897 |
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