Mcinnis, Melvin Gordon
Mcinnis, Melvin Gordon is an individual health care provider with primary practice located at 4250 Plymouth Road , Ann Arbor MI 48109-2700. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Clinical Genetics (M.D.). Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. Mcinnis, Melvin Gordon can be contacted via phone (734) 764-6443.Contact Information
Primary practice address
4250 Plymouth Road
Ann Arbor MI 48109-2700
Phone: (734) 764-6443
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 4301084398 | Michigan |
| Allopathic & Osteopathic Physicians / Clinical Genetics (M.D.) | 207SG0201X | 4301084398 | Michigan |
Profile Details
| NPI number | 1295807113 |
|---|---|
| LBN Legal business name | Mcinnis, Melvin Gordon |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 15th, 2006 |
| Last updated | Apr 19th, 2021 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1295807113 | NPPES |
| Michigan | MEDICAID | 4722686 |
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