Colville, Melanie Shay
Colville, Melanie Shay is an individual health care provider with primary practice located at 222 W Thomas Rd Suite 304, Phoenix AZ 85013-4419. She recently has 2 registered licenses in different health care specialties including Dietary & Nutritional Service Providers / Dietitian, Registered, Dietary & Nutritional Service Providers / Nutrition, Metabolic. Dietary & Nutritional Service Providers / Nutrition, Metabolic is her primary health care specialty. Colville, Melanie Shay can be contacted via phone (602) 406-3611.Contact Information
Primary practice address
222 W Thomas Rd Suite 304
Phoenix AZ 85013-4419
Phone: (602) 406-3611
Fax: (602) 406-4363
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dietary & Nutritional Service Providers / Dietitian, Registered | 133V00000X | ||
| Dietary & Nutritional Service Providers / Nutrition, Metabolic | 133VN1006X |
Profile Details
| NPI number | 1013145770 |
|---|---|
| LBN Legal business name | Colville, Melanie Shay |
| Credentials | MS, RD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 1st, 2009 |
| Last updated | Jul 1st, 2009 - about 17 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 | 1013145770 | NPPES |
| Other | 886208 | COMMISSION ON DIETETIC REGISTRATION |
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