Whitesides, Melanie Eileen

Whitesides, Melanie Eileen is an individual health care provider with primary practice located at 615 S New Ballas Rd , Saint Louis MO 63141. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Anesthesiologist Assistant, which is considered as her primary health care specialty. Whitesides, Melanie Eileen can be contacted via phone (636) 386-9224.

Contact Information

Primary practice address
615 S New Ballas Rd Saint Louis MO 63141
Phone: (636) 386-9224
Fax: (636) 386-7679
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Anesthesiologist Assistant 367H00000X 2016034131 Missouri

Profile Details

NPI number 1942759493
LBN Legal business name Whitesides, Melanie Eileen
Credentials CAA
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 26th, 2016
Last updated Feb 3rd, 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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