Altom, Melissa C
Altom, Melissa C is an individual health care provider with primary practice located at 106 Commerce Dr , Aurora MO 65605-6260. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Altom, Melissa C can be contacted via phone (417) 269-2400.Contact Information
Primary practice address
106 Commerce Dr
Aurora MO 65605-6260
Phone: (417) 269-2400
Fax: (417) 269-2410
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 112771 | Missouri |
Profile Details
| NPI number | 1588677991 |
|---|---|
| LBN Legal business name | Altom, Melissa C |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 15th, 2006 |
| Last updated | Oct 13th, 2023 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1588677991 | NPPES |
| Missouri | MEDICAID | 204965602 |
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