Payson, Melissa Hackbarth
Payson, Melissa Hackbarth is an individual health care provider with primary practice located at 751 Ne Blakely Dr Ste 4020 , Issaquah WA 98029-6201. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as her primary health care specialty. Payson, Melissa Hackbarth can be contacted via phone (425) 313-7077.Contact Information
Primary practice address
751 Ne Blakely Dr Ste 4020
Issaquah WA 98029-6201
Phone: (425) 313-7077
Fax: (425) 313-7072
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | PA10005049 | Washington |
Profile Details
| NPI number | 1306877477 |
|---|---|
| LBN Legal business name | Payson, Melissa Hackbarth |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 6th, 2006 |
| Last updated | Nov 10th, 2021 - about 3 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 | 1306877477 | NPPES |
| Washington | Other | G8862909 | MEDICARE PTAN |
| Washington | MEDICAID | 1306877477 | MEDICARE PTAN |
| Washington | Other | 0214277 | MEDICARE PTAN |
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