Mellow, Alan M

Mellow, Alan M is an individual health care provider with primary practice located at 4260 Plymouth Rd , Ann Arbor MI 48109-2700. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Geriatric Psychiatry. Allopathic & Osteopathic Physicians / Geriatric Psychiatry is his primary health care specialty. Mellow, Alan M can be contacted via phone (734) 936-4400.

Contact Information

Primary practice address
4260 Plymouth Rd Ann Arbor MI 48109-2700
Phone: (734) 936-4400
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 4301053537 Michigan
Allopathic & Osteopathic Physicians / Geriatric Psychiatry 2084P0805X 4301053537 Michigan

Profile Details

NPI number 1790861714
LBN Legal business name Mellow, Alan M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 31st, 2006
Last updated Nov 19th, 2010 - about 15 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 1790861714 NPPES
Michigan MEDICAID 2931524

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