Moody, Melissa Ann
Moody, Melissa Ann is an sole proprietor health care provider with primary practice located at 511 Morris St , Charleston WV 25301-1326. She recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as her primary health care specialty. Moody, Melissa Ann can be contacted via phone (304) 341-0511.Contact Information
Primary practice address
511 Morris St
Charleston WV 25301-1326
Phone: (304) 341-0511
Fax: (304) 525-1073
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 24328 | West Virginia |
Profile Details
| NPI number | 1750505384 |
|---|---|
| LBN Legal business name | Moody, Melissa Ann |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 13th, 2007 |
| Last updated | May 15th, 2012 - about 13 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 | 1750505384 | NPPES |
| West Virginia | MEDICAID | 3810022672 | |
| West Virginia | MEDICAID | 0005355002 |
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