Melniczek, David Myatt
Melniczek, David Myatt is an individual health care provider with primary practice located at 777 S State Highway 49 Ste 1&2 , Jackson CA 95642-2685. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Melniczek, David Myatt can be contacted via phone (209) 256-8200.Contact Information
Primary practice address
777 S State Highway 49 Ste 1&2
Jackson CA 95642-2685
Phone: (209) 256-8200
Fax: (209) 256-8204
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | A92447 | California |
Profile Details
| NPI number | 1275575664 |
|---|---|
| LBN Legal business name | Melniczek, David Myatt |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 12th, 2006 |
| Last updated | Jan 28th, 2020 - about 5 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 | 1275575664 | NPPES |
| California | Other | A92447 | LICENSE |
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