Davidson, Melissa Ann
Davidson, Melissa Ann is an individual health care provider with primary practice located at 4613 W Main St , Kalamazoo MI 49006-2645. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Davidson, Melissa Ann can be contacted via phone (269) 488-8672.Contact Information
Primary practice address
4613 W Main St
Kalamazoo MI 49006-2645
Phone: (269) 488-8672
Fax: (269) 488-8673
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 4301056179 | Michigan |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 4301056179 | Michigan |
Profile Details
| NPI number | 1740259332 |
|---|---|
| LBN Legal business name | Davidson, Melissa Ann |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 16th, 2006 |
| Last updated | Nov 27th, 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 | 1740259332 | NPPES |
| Other | 156671 | GREAT LAKES HLTH PLN | |
| Other | 5551271 | GREAT LAKES HLTH PLN | |
| MEDICAID | 487647710 | GREAT LAKES HLTH PLN | |
| Other | 1103904921 | GREAT LAKES HLTH PLN | |
| Other | 110C913020 | GREAT LAKES HLTH PLN | |
| MEDICAID | 4195269 | GREAT LAKES HLTH PLN |
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