Zaccheo, Melissa M

Zaccheo, Melissa M is an individual health care provider with primary practice located at 601 John Street Suite M510, Kalamazoo MI 49007-5341. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Zaccheo, Melissa M can be contacted via phone (269) 341-7762.

Contact Information

Primary practice address
601 John Street Suite M510 Kalamazoo MI 49007-5341
Phone: (269) 341-7762
Fax: (269) 341-8098
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X SP008463 Pennsylvania

Profile Details

NPI number 1104800952
LBN Legal business name Zaccheo, Melissa M
Credentials CRNP
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 5th, 2005
Last updated Oct 10th, 2014 - about 12 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 1104800952 NPPES
Michigan MEDICAID 1104800952
Michigan Other 1003822412

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