Ford, Melissa A
Ford, Melissa A is an sole proprietor health care provider with primary practice located at S29W29350 Ancestral Dr , Waukesha WI 53188-9514. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Ford, Melissa A can be contacted via phone (262) 219-5433.Contact Information
Primary practice address
S29W29350 Ancestral Dr
Waukesha WI 53188-9514
Phone: (262) 219-5433
Fax: (262) 201-4262
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 2829-125 | Wisconsin |
Profile Details
| NPI number | 1528272051 |
|---|---|
| LBN Legal business name | Ford, Melissa A |
| Credentials | M.S.,LPC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 10th, 2007 |
| Last updated | Sep 1st, 2023 - about 3 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 | 1528272051 | NPPES |
| Wisconsin | MEDICAID | 43550000 |
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