Oltman, Melissa L.

Oltman, Melissa L. is an individual health care provider with primary practice located at 905 Franklin St , Waterloo IA 50703-4407. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Oltman, Melissa L. can be contacted via phone (319) 272-4300.

Contact Information

Primary practice address
905 Franklin St Waterloo IA 50703-4407
Phone: (319) 272-4300
Fax: (319) 272-4411
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X A-085215 Iowa

Profile Details

NPI number 1720342017
LBN Legal business name Oltman, Melissa L.
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 2nd, 2012
Last updated Apr 30th, 2018 - about 6 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 1720342017 NPPES
Iowa Other 15689 WELLMARK BCBS
Iowa MEDICAID 0076372 WELLMARK BCBS

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