Ward, Melissa Dawn

Ward, Melissa Dawn is an individual health care provider with primary practice located at 710 W Hobbs St , Athens AL 35611-1508. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Ward, Melissa Dawn can be contacted via phone (256) 800-2105.

Contact Information

Primary practice address
710 W Hobbs St Athens AL 35611-1508
Phone: (256) 800-2105
Fax: (256) 800-2107
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 1-083717 Alabama

Profile Details

NPI number 1851373344
LBN Legal business name Ward, Melissa Dawn
Credentials CRNP
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 18th, 2005
Last updated Jun 13th, 2020 - about 4 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 1851373344 NPPES
Alabama Other 051518176TAY BC/BS ALABAMA
Alabama MEDICAID 1851373344 BC/BS ALABAMA
Alabama MEDICAID 529702470 BC/BS ALABAMA

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