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:
Health care specialties
Specialty | Code | License # | 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 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 | 1558321653 | NPPES |
Ohio | MEDICAID | 0706230 | |
Ohio | Other | 110140131 | |
Ohio | Other | 492 | |
Ohio | Other | PH0653555 | |
Ohio | Other | 000000132182 | |
Ohio | Other | 729763 |
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