Ekholm, Melinda Cecile
Ekholm, Melinda Cecile is an individual health care provider with primary practice located at 3994 Colville Rd , Loon Lake WA 99148-9789. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Primary Care. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Ekholm, Melinda Cecile can be contacted via phone (509) 233-8412.Contact Information
Primary practice address
3994 Colville Rd
Loon Lake WA 99148-9789
Phone: (509) 233-8412
Fax: (509) 233-2864
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | AP30005591 | Washington |
| Physician Assistants & Advanced Practice Nursing Providers / Primary Care | 363LP2300X | RN00082739 | Washington |
Profile Details
| NPI number | 1912008988 |
|---|---|
| LBN Legal business name | Ekholm, Melinda Cecile |
| Credentials | ARNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 25th, 2006 |
| Last updated | Mar 31st, 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 | 1912008988 | NPPES |
| Washington | MEDICAID | 9629320 | |
| Washington | Other | 143010 |
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