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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1538130745 | NPPES |
| District of Columbia | MEDICAID | 759210800 | |
| District of Columbia | MEDICAID | 010203040 | |
| District of Columbia | MEDICAID | 017165800 |
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