Melancon, Mary C

Melancon, Mary C is an individual health care provider with primary practice located at 106 Irving St Nw , Washington DC 20010-2927. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Melancon, Mary C can be contacted via phone (202) 877-7000.

Contact Information

Primary practice address
106 Irving St Nw Washington DC 20010-2927
Phone: (202) 877-7000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X MD21384 District of Columbia

Profile Details

NPI number 1538130745
LBN Legal business name Melancon, Mary C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 27th, 2006
Last updated Mar 12th, 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 1538130745 NPPES
District of Columbia MEDICAID 759210800
District of Columbia MEDICAID 010203040
District of Columbia MEDICAID 017165800

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