Waddell, Melissa Mae
Waddell, Melissa Mae is an sole proprietor health care provider with primary practice located at 118 Rarden Rd , Peebles OH 45660-1049. She recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as her primary health care specialty. Waddell, Melissa Mae can be contacted via phone (937) 587-9422.Contact Information
Primary practice address
118 Rarden Rd
Peebles OH 45660-1049
Phone: (937) 587-9422
Fax: (937) 587-9522
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Sports Medicine | 2081S0010X | PT005740 | Ohio |
Profile Details
| NPI number | 1043307333 |
|---|---|
| LBN Legal business name | Waddell, Melissa Mae |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 6th, 2006 |
| Last updated | Nov 25th, 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 | 1043307333 | NPPES |
| Ohio | Other | 31-1448551 | TAX ID |
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