Bryan, Melba

Bryan, Melba is an individual health care provider with primary practice located at 106 Springview Ln , Summerville SC 29485-8108. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Bryan, Melba can be contacted via phone (843) 873-5063.

Contact Information

Primary practice address
106 Springview Ln Summerville SC 29485-8108
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1306242011
LBN Legal business name Bryan, Melba
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 6th, 2014
Last updated Nov 6th, 2014 - about 12 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 1306242011 NPPES
South Carolina MEDICAID 1760596480

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