Crenshaw, Melissa Lynn

Crenshaw, Melissa Lynn is an individual health care provider with primary practice located at 880 6Th St S Suite 240, St Petersburg FL 33701-4827. She recently has only one registered license in Allopathic & Osteopathic Physicians / Clinical Genetics (M.D.), which is considered as her primary health care specialty. Crenshaw, Melissa Lynn can be contacted via phone (727) 767-8491.

Contact Information

Primary practice address
880 6Th St S Suite 240 St Petersburg FL 33701-4827
Phone: (727) 767-8491
Fax: (727) 767-8270
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Clinical Genetics (M.D.) 207SG0201X ME91155 Florida

Profile Details

NPI number 1689659641
LBN Legal business name Crenshaw, Melissa Lynn
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 13th, 2005
Last updated Nov 22nd, 2021 - about 5 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 1689659641 NPPES
Florida MEDICAID 2707527 00

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