Merola, Melinda L

Merola, Melinda L is an individual health care provider with primary practice located at 10400 75Th St , Kenosha WI 53142-7884. She recently has only one registered license in Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine, which is considered as her primary health care specialty. Merola, Melinda L can be contacted via phone (262) 948-5600.

Contact Information

Primary practice address
10400 75Th St Kenosha WI 53142-7884
Phone: (262) 948-5600
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine 207RH0002X 81357 Wisconsin
Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine 207RH0002X 036.144564 Illinois

Profile Details

NPI number 1093109506
LBN Legal business name Merola, Melinda L
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 23rd, 2015
Last updated Feb 26th, 2024 - about 10 months 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 1093109506 NPPES
Wisconsin MEDICAID 100266094

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