Qualls, Melissa Catherine
Qualls, Melissa Catherine is an individual health care provider with primary practice located at 200 Mcauley Ct , Hot Springs AR 71913-6312. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Qualls, Melissa Catherine can be contacted via phone (501) 623-4485.Contact Information
Primary practice address
200 Mcauley Ct
Hot Springs AR 71913-6312
Phone: (501) 623-4485
Fax: (501) 623-4480
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | A03224ANP | Arkansas |
Profile Details
| NPI number | 1205078144 |
|---|---|
| LBN Legal business name | Qualls, Melissa Catherine |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 24th, 2009 |
| Last updated | Mar 14th, 2012 - about 13 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 | 1205078144 | NPPES |
| Arkansas | MEDICAID | 177753758 |
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