Donahue, Melisa R

Donahue, Melisa R is an sole proprietor health care provider with primary practice located at 9123 Cross Park Dr , Knoxville TN 37923-4552. She recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as her primary health care specialty. Donahue, Melisa R can be contacted via phone (865) 591-8961.

Contact Information

Primary practice address
9123 Cross Park Dr Knoxville TN 37923-4552
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1699120659
LBN Legal business name Donahue, Melisa R
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 27th, 2016
Last updated Apr 27th, 2016 - about 9 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 1699120659 NPPES
Tennessee MEDICAID QO17979

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