Thacker, Melissa Lee

Thacker, Melissa Lee is an sole proprietor health care provider with primary practice located at 800 Gallia St Ste 600 , Portsmouth OH 45662-4097. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Thacker, Melissa Lee can be contacted via phone (740) 353-4673.

Contact Information

Primary practice address
800 Gallia St Ste 600 Portsmouth OH 45662-4097
Phone: (740) 353-4673
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X

Profile Details

NPI number 1407071244
LBN Legal business name Thacker, Melissa Lee
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 16th, 2007
Last updated Oct 17th, 2023 - about last year

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 1407071244 NPPES
Ohio Other 2520285 OH INDEPENDENT PROVIDER #

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