Fitzsimmons, Melanie P

Fitzsimmons, Melanie P is an individual health care provider with primary practice located at 584 Roosevelt Trail , Windham ME 04062. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Fitzsimmons, Melanie P can be contacted via phone (207) 892-3233.

Contact Information

Primary practice address
584 Roosevelt Trail Windham ME 04062
Fax: (207) 893-0752
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD17419 Maine
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD17419 Maine

Profile Details

NPI number 1700953015
LBN Legal business name Fitzsimmons, Melanie P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 29th, 2006
Last updated Nov 7th, 2018 - about 8 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 1700953015 NPPES
Maine MEDICAID 532621199
Maine MEDICAID 30207092

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