Dye, Melissa J.

Dye, Melissa J. is an individual health care provider with primary practice located at 2805 N Knoxville Ave , Peoria IL 61604-2869. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical-Surgical, Physician Assistants & Advanced Practice Nursing Providers / Clinical Nurse Specialist. Physician Assistants & Advanced Practice Nursing Providers / Clinical Nurse Specialist is her primary health care specialty. Dye, Melissa J. can be contacted via phone (309) 624-9400.

Contact Information

Primary practice address
2805 N Knoxville Ave Peoria IL 61604-2869
Phone: (309) 624-9400
Fax: (309) 624-2280
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical-Surgical 364SM0705X 209-006545 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Clinical Nurse Specialist 364S00000X 209-006545 Illinois

Profile Details

NPI number 1467575092
LBN Legal business name Dye, Melissa J.
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 9th, 2007
Last updated Oct 11th, 2010 - about 16 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 1467575092 NPPES
Illinois Other P00397410 RR INDIVIDUAL #
Illinois Other 809840 RR INDIVIDUAL #
Illinois Other CA4079 RR INDIVIDUAL #

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