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
Phone: (920) 770-3250
Fax:
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1639307473 | NPPES |
Wisconsin | MEDICAID | 1639307473 |
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