Phillips, Melodie

Phillips, Melodie is an individual health care provider with primary practice located at 3009 Smith Rd , Fairlawn OH 44333-2666. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Phillips, Melodie can be contacted via phone (330) 665-4488.

Contact Information

Primary practice address
3009 Smith Rd Fairlawn OH 44333-2666
Phone: (330) 665-4488
Fax: (330) 665-4489
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 35-052393P Ohio

Profile Details

NPI number 1558321653
LBN Legal business name Phillips, Melodie
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 24th, 2006
Last updated Oct 20th, 2020 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1558321653 NPPES
Ohio MEDICAID 0706230
Ohio Other 110140131
Ohio Other 492
Ohio Other PH0653555
Ohio Other 000000132182
Ohio Other 729763

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