Fullner-Marshall, Melissa A

Fullner-Marshall, Melissa A is an individual health care provider with primary practice located at 1104 W 8Th St , Yankton SD 57078-3306. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Fullner-Marshall, Melissa A can be contacted via phone (605) 665-7841.

Contact Information

Primary practice address
1104 W 8Th St Yankton SD 57078-3306
Phone: (605) 665-7841
Fax: (605) 665-0546
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 1632 Nebraska
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 0667 South Dakota
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 1222 South Dakota

Profile Details

NPI number 1407033012
LBN Legal business name Fullner-Marshall, Melissa A
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 25th, 2008
Last updated Jun 24th, 2020 - about 5 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 1407033012 NPPES
Nebraska MEDICAID 10025938900
Nebraska MEDICAID 6830000

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