Walters, Melissa A.

Walters, Melissa A. is an individual health care provider with primary practice located at 121 Medical Center Dr Suite 3100, Brunswick ME 04011-2653. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Walters, Melissa A. can be contacted via phone (207) 729-7939.

Contact Information

Primary practice address
121 Medical Center Dr Suite 3100 Brunswick ME 04011-2653
Phone: (207) 729-7939
Fax: (207) 725-4717
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA695 Maine

Profile Details

NPI number 1699890137
LBN Legal business name Walters, Melissa A.
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 21st, 2007
Last updated Feb 12th, 2016 - about 9 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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Identifiers

StateTypeNumberIssuer
All States NPI 1699890137 NPPES
Maine MEDICAID 432043899

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