Mcnutt, Melanie J

Mcnutt, Melanie J is an individual health care provider with primary practice located at 3000 32Nd Ave S , Fargo ND 58103-6132. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Mcnutt, Melanie J can be contacted via phone (701) 364-8000.

Contact Information

Primary practice address
3000 32Nd Ave S Fargo ND 58103-6132
Fax: (701) 364-8078
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 682 North Dakota

Profile Details

NPI number 1336176379
LBN Legal business name Mcnutt, Melanie J
Credentials MS-SLP
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 26th, 2006
Last updated May 23rd, 2012 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1336176379 NPPES
North Dakota Other 4600984 MEDICA #
North Dakota Other HP31697 MEDICA #
North Dakota MEDICAID 51418 MEDICA #
North Dakota Other 4600983 MEDICA #

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