Carlisle, Melanie
Carlisle, Melanie is an individual health care provider with primary practice located at 601 John St Box 74, Kalamazoo MI 49007-5341. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Carlisle, Melanie can be contacted via phone (269) 341-8481.Contact Information
Primary practice address
601 John St Box 74
Kalamazoo MI 49007-5341
Phone: (269) 341-8481
Fax: (269) 341-7781
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 5601004849 | Michigan |
Profile Details
| NPI number | 1811060163 |
|---|---|
| LBN Legal business name | Carlisle, Melanie |
| Credentials | PAC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 16th, 2006 |
| Last updated | Nov 7th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1811060163 | NPPES |
| Michigan | Other | 160C976180 | BCBSM |
| Michigan | MEDICAID | 1811060163 | BCBSM |
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