Recore, Melanie Lynn
Recore, Melanie Lynn is an individual health care provider with primary practice located at 2021 S. Alverno Road , Manitowoc WI 54220-9208. She recently has 3 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Gerontology, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Rehabilitation, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist is her primary health care specialty. Recore, Melanie Lynn can be contacted via phone (920) 683-4592.Contact Information
Primary practice address
2021 S. Alverno Road
Manitowoc WI 54220-9208
Phone: (920) 683-4592
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Gerontology | 225XG0600X | ||
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Rehabilitation | 225XP0019X | ||
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist | 225X00000X | 6625-26 | Wisconsin |
Profile Details
NPI number | 1194368217 |
---|---|
LBN Legal business name | Recore, Melanie Lynn |
Credentials | Registered Occupational Therapist (OTR) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 21st, 2019 |
Last updated | Jul 15th, 2021 - 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1194368217 | NPPES |
Wisconsin | MEDICAID | 100102503 |
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