Zortman, Melody R

Zortman, Melody R is an individual health care provider with primary practice located at 2525 Chicago Ave , Minneapolis MN 55404-4518. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as her primary health care specialty. Zortman, Melody R can be contacted via phone (651) 336-4773.

Contact Information

Primary practice address
2525 Chicago Ave Minneapolis MN 55404-4518
Phone: (651) 336-4773
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 395 - TEMP REG. Minnesota

Profile Details

NPI number 1497790372
LBN Legal business name Zortman, Melody R
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 17th, 2006
Last updated Feb 8th, 2012 - about 14 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 1497790372 NPPES
Minnesota Other 2442942 AMERICA'S PPO
Minnesota Other HP64494 AMERICA'S PPO

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