Blackbird, Melissa

Blackbird, Melissa is an sole proprietor health care provider with primary practice located at 499 W Boundry , Kansas OK 74347-1662. She recently has only one registered license in Agencies / Local Education Agency (LEA), which is considered as her primary health care specialty. Blackbird, Melissa can be contacted via phone (918) 868-2567.

Contact Information

Primary practice address
499 W Boundry Kansas OK 74347-1662
Phone: (918) 868-2567
Fax: (918) 868-5584
Website:
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Health care specialties

SpecialtyCodeLicense #State
Agencies / Local Education Agency (LEA) 251300000X
Agencies / Local Education Agency (LEA) 251300000X 48776 Oklahoma

Profile Details

NPI number 1699140004
LBN Legal business name Blackbird, Melissa
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 10th, 2015
Last updated Dec 10th, 2015 - about 10 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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