Sullivan, Melinda Christine

Sullivan, Melinda Christine is an individual health care provider with primary practice located at 10663 Raystown Rd Suite B, Huntingdon PA 16652-7542. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Sullivan, Melinda Christine can be contacted via phone (814) 627-0071.

Contact Information

Primary practice address
10663 Raystown Rd Suite B Huntingdon PA 16652-7542
Phone: (814) 627-0071
Fax: (814) 627-0315
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X OA00077L Pennsylvania
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X MA002783L Pennsylvania

Profile Details

NPI number 1518936756
LBN Legal business name Sullivan, Melinda Christine
Credentials MPAS PAC
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 17th, 2006
Last updated Aug 25th, 2009 - about 15 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 1518936756 NPPES
Pennsylvania MEDICAID 0008434780002

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