Boltz, Melissa Ann
Boltz, Melissa Ann is an individual health care provider with primary practice located at 2011 Broadway St Ste 130 , Pearland TX 77581-5945. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Boltz, Melissa Ann can be contacted via phone (312) 943-3600.Contact Information
Primary practice address
2011 Broadway St Ste 130
Pearland TX 77581-5945
Phone: (312) 943-3600
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | 146008101 | Illinois |
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | 111577 | Texas |
Profile Details
| NPI number | 1598899759 |
|---|---|
| LBN Legal business name | Boltz, Melissa Ann |
| Credentials | Surgical Technician (ST) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 16th, 2007 |
| Last updated | Jul 21st, 2022 - about 4 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 | 1598899759 | NPPES |
| Illinois | MEDICAID | 103034 |
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