Vangiesen, Melissa Kristine

Vangiesen, Melissa Kristine is an individual health care provider with primary practice located at 400 N Pleasant Ave , Centralia IL 62801-3056. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as her primary health care specialty. Vangiesen, Melissa Kristine can be contacted via phone (618) 436-8641.

Contact Information

Primary practice address
400 N Pleasant Ave Centralia IL 62801-3056
Phone: (618) 436-8641
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X 96002127 Illinois

Profile Details

NPI number 1427022250
LBN Legal business name Vangiesen, Melissa Kristine
Credentials MS, ATC
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 16th, 2006
Last updated Jul 8th, 2007 - about 17 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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