Melicher, Paul R

Melicher, Paul R is an individual health care provider with primary practice located at 100 4Th St S Ste 612 , Fargo ND 58103-1940. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Melicher, Paul R can be contacted via phone (701) 235-0561.

Contact Information

Primary practice address
100 4Th St S Ste 612 Fargo ND 58103-1940
Phone: (701) 235-0561
Fax: (701) 235-0330
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 428 North Dakota

Profile Details

NPI number 1174611438
LBN Legal business name Melicher, Paul R
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 11th, 2006
Last updated Dec 12th, 2007 - about 19 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 1174611438 NPPES
North Dakota MEDICAID 60346
North Dakota Other 2M311ME
North Dakota Other 800428
North Dakota Other 11481

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