Vandermissen, Melissa A

Vandermissen, Melissa A is an individual health care provider with primary practice located at N3860 Bass Lake Rd , Iron Mountain MI 49801-9306. She recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as her primary health care specialty. Vandermissen, Melissa A can be contacted via phone (920) 770-3250.

Contact Information

Primary practice address
N3860 Bass Lake Rd Iron Mountain MI 49801-9306
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 4973-12 Wisconsin
Chiropractic Providers / Chiropractor 111N00000X 2301009510 Michigan

Profile Details

NPI number 1639307473
LBN Legal business name Vandermissen, Melissa A
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 1st, 2009
Last updated Oct 2nd, 2019 - about 6 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 1639307473 NPPES
Wisconsin MEDICAID 1639307473

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