Jackson, Melinda Brown
Jackson, Melinda Brown is an sole proprietor health care provider with primary practice located at 4144 Wyntree Dr , Newburgh IN 47630-2521. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Jackson, Melinda Brown can be contacted via phone (812) 858-1957.Contact Information
Primary practice address
4144 Wyntree Dr
Newburgh IN 47630-2521
Phone: (812) 858-1957
Fax: (812) 858-1917
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 01037696 | Indiana |
Profile Details
| NPI number | 1558332734 |
|---|---|
| LBN Legal business name | Jackson, Melinda Brown |
| Credentials | M.D., PHD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 27th, 2006 |
| Last updated | Jan 23rd, 2014 - about 12 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 | 1558332734 | NPPES |
| Indiana | MEDICAID | 100180410 |
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