Smith, Melissa O

Smith, Melissa O is an sole proprietor health care provider with primary practice located at 5242 Dawes Ave , Alexandria VA 22311-1404. She recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as her primary health care specialty. Smith, Melissa O can be contacted via phone (703) 578-3899.

Contact Information

Primary practice address
5242 Dawes Ave Alexandria VA 22311-1404
Phone: (703) 578-3899
Fax: (703) 578-8950
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 0103300905 Virginia

Profile Details

NPI number 1467470849
LBN Legal business name Smith, Melissa O
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 17th, 2006
Last updated Dec 19th, 2014 - about 11 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 1467470849 NPPES
Minnesota Other 2022 BCBS
Minnesota MEDICAID 013618200 BCBS
Minnesota Other 7014474 BCBS
Minnesota Other 3262317 BCBS

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