Visser, Melissa

Visser, Melissa is an individual health care provider with primary practice located at 2600 W Centre Ave , Portage MI 49024-4666. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Visser, Melissa can be contacted via phone (269) 324-4141.

Contact Information

Primary practice address
2600 W Centre Ave Portage MI 49024-4666
Phone: (269) 324-4141
Fax: (269) 324-2020
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 5601005118 Michigan

Profile Details

NPI number 1588844328
LBN Legal business name Visser, Melissa
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 9th, 2007
Last updated Nov 27th, 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 1588844328 NPPES
Michigan MEDICAID 1588844328
Michigan Other 1104840529

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