Teague, Melissa London
Teague, Melissa London is an individual health care provider with primary practice located at 420 N Center St , Hickory NC 28601-5033. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Teague, Melissa London can be contacted via phone (828) 315-5092.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | C005745 | North Carolina |
Profile Details
| NPI number | 1619176773 |
|---|---|
| LBN Legal business name | Teague, Melissa London |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 17th, 2007 |
| Last updated | Jul 2nd, 2012 - about 13 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 | 1619176773 | NPPES |
| North Carolina | Other | 148FW | BCBSNC |
| North Carolina | MEDICAID | 6106724 | BCBSNC |
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