O'Brien, Melanie Jill

O'Brien, Melanie Jill is an individual health care provider with primary practice located at 4308 Hanover Park Dr , Jacksonville FL 32224-8602. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist is her primary health care specialty. O'Brien, Melanie Jill can be contacted via phone (904) 465-1049.

Contact Information

Primary practice address
4308 Hanover Park Dr Jacksonville FL 32224-8602
Phone: (904) 465-1049
Fax: (904) 438-5423
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist 222Q00000X

Profile Details

NPI number 1932258555
LBN Legal business name O'Brien, Melanie Jill
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 10th, 2007
Last updated Jun 3rd, 2013 - about 11 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 1932258555 NPPES
Florida MEDICAID 812284900
Florida MEDICAID 766065100

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