Ostrom, Melinda L
Ostrom, Melinda L is an sole proprietor health care provider with primary practice located at 1111 Morningside Pl Ne , Atlanta GA 30306-3061. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Ostrom, Melinda L can be contacted via phone (404) 849-8235.Contact Information
Primary practice address
1111 Morningside Pl Ne
Atlanta GA 30306-3061
Phone: (404) 849-8235
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | PT006838 | Georgia |
Profile Details
NPI number | 1518909183 |
---|---|
LBN Legal business name | Ostrom, Melinda L |
Credentials | Master of Physical Therapy (MPT) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jun 11th, 2006 |
Last updated | May 28th, 2020 - about 5 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 | 1518909183 | NPPES |
Georgia | MEDICAID | 003108942B |
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