Rodeback, Melodie
Rodeback, Melodie is an sole proprietor health care provider with primary practice located at 1620 S Pioneer Way , Moses Lake WA 98837-2487. She recently has only one registered license in Nursing Service Providers / School, which is considered as her primary health care specialty. Rodeback, Melodie can be contacted via phone (509) 766-2670.Contact Information
Primary practice address
1620 S Pioneer Way
Moses Lake WA 98837-2487
Phone: (509) 766-2670
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / School | 163WS0200X | RN00052138 | Washington |
Profile Details
| NPI number | 1902311574 |
|---|---|
| LBN Legal business name | Rodeback, Melodie |
| Credentials | RN00052138 |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 5th, 2017 |
| Last updated | Sep 6th, 2019 - 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 | 1902311574 | NPPES |
| Washington | MEDICAID | 7440027 |
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