Hostetter, Melissa Berg

Hostetter, Melissa Berg is an individual health care provider with primary practice located at 108 Community Dr , Waynesboro VA 22980-9505. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Hostetter, Melissa Berg can be contacted via phone (540) 949-0118.

Contact Information

Primary practice address
108 Community Dr Waynesboro VA 22980-9505
Phone: (540) 949-0118
Fax: (540) 949-8903
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 0101231843 Virginia

Profile Details

NPI number 1033113956
LBN Legal business name Hostetter, Melissa Berg
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 9th, 2005
Last updated Aug 15th, 2012 - about 14 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 1033113956 NPPES
Other 54741 OPTIMA
Other 2213464 OPTIMA
Other 240285 OPTIMA
MEDICAID 010054290 OPTIMA
Other 6265006 OPTIMA
Other 113534 OPTIMA

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