Wahl, Melanie Janette
Wahl, Melanie Janette is an individual health care provider with primary practice located at 1011 Bowles Ave Ste 300 , Fenton MO 63026. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Wahl, Melanie Janette can be contacted via phone (636) 496-5030.Contact Information
Primary practice address
1011 Bowles Ave Ste 300
Fenton MO 63026
Phone: (636) 496-5030
Fax: (636) 496-5035
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 2009019545 | Missouri |
Profile Details
| NPI number | 1609072933 |
|---|---|
| LBN Legal business name | Wahl, Melanie Janette |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 24th, 2007 |
| Last updated | Nov 23rd, 2020 - about 5 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 | 1609072933 | NPPES |
| Missouri | Other | P00878235 | RAILROAD MEDICARE |
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