Bach, Melissa L

Bach, Melissa L is an individual health care provider with primary practice located at 1111 Lighthouse Lane , Goshen IN 46526-3824. 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. Bach, Melissa L can be contacted via phone (574) 533-0348.

Contact Information

Primary practice address
1111 Lighthouse Lane Goshen IN 46526-3824
Fax: (574) 533-0277
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 71001002A Indiana

Profile Details

NPI number 1720072531
LBN Legal business name Bach, Melissa L
Credentials Women's Health Nurse Practitioner (WHNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 7th, 2005
Last updated Aug 30th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1720072531 NPPES
Indiana MEDICAID 200355360
Indiana Other 000000390739

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