Neislein, Melissa

Neislein, Melissa is an individual health care provider with primary practice located at 88 S Main St Ste 2 , Glen Carbon IL 62034-1415. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Neislein, Melissa can be contacted via phone (618) 288-8085.

Contact Information

Primary practice address
88 S Main St Ste 2 Glen Carbon IL 62034-1415
Phone: (618) 288-8085
Fax: (618) 288-8959
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1386397420
LBN Legal business name Neislein, Melissa
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 29th, 2022
Last updated Jan 29th, 2022 - about 2 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 1386397420 NPPES
Illinois MEDICAID 4A00-IPI-032

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