Koumentakos, Melanie Jean

Koumentakos, Melanie Jean is an individual health care provider with primary practice located at 113 Elm St Suite 304, Enfield CT 06082. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Koumentakos, Melanie Jean can be contacted via phone (860) 741-2225.

Contact Information

Primary practice address
113 Elm St Suite 304 Enfield CT 06082
Phone: (860) 741-2225
Fax: (860) 741-2229
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 001905 Connecticut

Profile Details

NPI number 1295925956
LBN Legal business name Koumentakos, Melanie Jean
Credentials PA C
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 30th, 2007
Last updated Mar 27th, 2013 - about 13 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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