Moody, Melody Lynne

Moody, Melody Lynne is an individual health care provider with primary practice located at 1700 Harrison St Suite N, Batesville AR 72501. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Moody, Melody Lynne can be contacted via phone (870) 262-2000.

Contact Information

Primary practice address
1700 Harrison St Suite N Batesville AR 72501
Fax: (870) 262-2210
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X E1877 Arkansas

Profile Details

NPI number 1689640641
LBN Legal business name Moody, Melody Lynne
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 28th, 2006
Last updated Dec 2nd, 2009 - about 15 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 1689640641 NPPES
Arkansas MEDICAID 135172001

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