Charlebois, Melissa A
Charlebois, Melissa A is an individual health care provider with primary practice located at 826 Washington St Suite 204, Watertown NY 13601-4063. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Charlebois, Melissa A can be contacted via phone (315) 788-1751.Contact Information
Primary practice address
826 Washington St Suite 204
Watertown NY 13601-4063
Phone: (315) 788-1751
Fax: (315) 788-9021
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 0102671 | New York |
Profile Details
| NPI number | 1275529554 |
|---|---|
| LBN Legal business name | Charlebois, Melissa A |
| Credentials | RPA C |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 22nd, 2005 |
| Last updated | Jul 13th, 2026 - about 3 months 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 | 1275529554 | NPPES |
| New York | MEDICAID | 02634577 |
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