Nickels, Melinda Beth
Nickels, Melinda Beth is an individual health care provider with primary practice located at 3509 22Nd St , Lubbock TX 79410-1307. She recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as her primary health care specialty. Nickels, Melinda Beth can be contacted via phone (806) 799-7928.Contact Information
Primary practice address
3509 22Nd St
Lubbock TX 79410-1307
Phone: (806) 799-7928
Fax: (806) 788-8500
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | H8293 | Texas |
Profile Details
| NPI number | 1629071022 |
|---|---|
| LBN Legal business name | Nickels, Melinda Beth |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 31st, 2005 |
| Last updated | Nov 9th, 2021 - about 4 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 | 1629071022 | NPPES |
| Texas | MEDICAID | 129200507 |
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