Beach, Melissa

Beach, Melissa is an individual health care provider with primary practice located at 601 John St # 71 , 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. Beach, Melissa can be contacted via phone (269) 341-8253.

Contact Information

Primary practice address
601 John St # 71 Kalamazoo MI 49007-5341
Phone: (269) 341-8253
Fax: (269) 341-7847
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 4704208587 Michigan

Profile Details

NPI number 1720062151
LBN Legal business name Beach, Melissa
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 30th, 2005
Last updated Mar 17th, 2018 - about 8 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 1720062151 NPPES
Michigan MEDICAID 4780901-10
Michigan Other 700G560080

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