Melvin, Michele A.
Melvin, Michele A. is an sole proprietor health care provider with primary practice located at 908 Trailway Dr , Champaign IL 61822-2080. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Melvin, Michele A. can be contacted via phone (217) 607-1600.Contact Information
Primary practice address
908 Trailway Dr
Champaign IL 61822-2080
Phone: (217) 607-1600
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Professional | 101YP2500X | 180003314 | Illinois |
Profile Details
NPI number | 1184755449 |
---|---|
LBN Legal business name | Melvin, Michele A. |
Credentials | EDS, LCPC |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Mar 8th, 2007 |
Last updated | Apr 25th, 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 | 1184755449 | NPPES |
Illinois | Other | 01522514 | BCBS PROVIDER # |
Illinois | Other | 180003314 | BCBS PROVIDER # |
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