Enevoldsen, Melissa Marie

Enevoldsen, Melissa Marie is an individual health care provider with primary practice located at 6708 Raytown Rd , Raytown MO 64133-5272. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Enevoldsen, Melissa Marie can be contacted via phone (816) 353-1872.

Contact Information

Primary practice address
6708 Raytown Rd Raytown MO 64133-5272
Phone: (816) 353-1872
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 1926 Kansas
Eye and Vision Services Providers / Optometrist 152W00000X 2012017234 Missouri

Profile Details

NPI number 1396092961
LBN Legal business name Enevoldsen, Melissa Marie
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 13th, 2012
Last updated Nov 10th, 2013 - about 13 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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