Costa, Mariya Melnik
Costa, Mariya Melnik is an individual health care provider with primary practice located at 2233 Willamette St Ste B1 , Eugene OR 97405-2890. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Costa, Mariya Melnik can be contacted via phone (541) 485-6644.Contact Information
Primary practice address
2233 Willamette St Ste B1
Eugene OR 97405-2890
Phone: (541) 485-6644
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | D11054 | Oregon |
Profile Details
| NPI number | 1003308339 |
|---|---|
| LBN Legal business name | Costa, Mariya Melnik |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 1st, 2018 |
| Last updated | Jan 12th, 2023 - about 3 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 | 1003308339 | NPPES |
| Oregon | Other | B155786 | DRIVERS ID |
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