Shine, Melba Laniece

Shine, Melba Laniece is an sole proprietor health care provider with primary practice located at 263 Blue Point Ave , Blue Point NY 11715-1224. She recently has only one registered license in Nursing Service Providers / Registered Nurse, which is considered as her primary health care specialty. Shine, Melba Laniece can be contacted via phone (631) 419-6737.

Contact Information

Primary practice address
263 Blue Point Ave Blue Point NY 11715-1224
Phone: (631) 419-6737
Fax: (631) 868-3498
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 602544 New York

Profile Details

NPI number 1912177692
LBN Legal business name Shine, Melba Laniece
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 10th, 2008
Last updated Nov 2nd, 2016 - about 8 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 1912177692 NPPES
New York MEDICAID 02572796

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