Melville, Kraig A.

Melville, Kraig A. is an individual health care provider with primary practice located at 900 S Caton Ave , Baltimore MD 21229-5201. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medical Services, which is considered as his primary health care specialty. Melville, Kraig A. can be contacted via phone (410) 368-2014.

Contact Information

Primary practice address
900 S Caton Ave Baltimore MD 21229-5201
Phone: (410) 368-2014
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X D0050708 Maryland

Profile Details

NPI number 1821043266
LBN Legal business name Melville, Kraig A.
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2006
Last updated Apr 2nd, 2013 - about 11 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 1821043266 NPPES
Maryland MEDICAID 543213800

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