Drake, Melody Jane
Drake, Melody Jane is an individual health care provider with primary practice located at 1513 N 6Th 1/2 St , Terre Haute IN 47807-1039. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Drake, Melody Jane can be contacted via phone (812) 238-7631.Contact Information
Primary practice address
1513 N 6Th 1/2 St
Terre Haute IN 47807-1039
Phone: (812) 238-7631
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 01032773 | Indiana |
Profile Details
| NPI number | 1386635944 |
|---|---|
| LBN Legal business name | Drake, Melody Jane |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 2nd, 2005 |
| Last updated | Feb 28th, 2008 - about 18 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 | 1386635944 | NPPES |
| Indiana | Other | P00102267 | RR MEDICARE |
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