Mumford, Melody Anne
Mumford, Melody Anne is an individual health care provider with primary practice located at 6901 W Edgerton Ave , Greenfield WI 53220-4420. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Mumford, Melody Anne can be contacted via phone (414) 325-5244.Contact Information
Primary practice address
6901 W Edgerton Ave
Greenfield WI 53220-4420
Phone: (414) 325-5244
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 036127994 | Illinois |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 82787 | Wisconsin |
Profile Details
| NPI number | 1629242078 |
|---|---|
| LBN Legal business name | Mumford, Melody Anne |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 16th, 2008 |
| Last updated | Dec 26th, 2023 - about last year |
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 | 1629242078 | NPPES |
| Wisconsin | MEDICAID | 100255506 |
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