Mellen, Jay Robert
Mellen, Jay Robert is an individual health care provider with primary practice located at 3501 N Scottsdale Rd Suite 320, Scottsdale AZ 85251-5648. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Mellen, Jay Robert can be contacted via phone (480) 424-7228.Contact Information
Primary practice address
3501 N Scottsdale Rd Suite 320
Scottsdale AZ 85251-5648
Phone: (480) 424-7228
Fax: (480) 424-7317
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | 15628 | Arizona |
Profile Details
| NPI number | 1609871979 |
|---|---|
| LBN Legal business name | Mellen, Jay Robert |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 14th, 2005 |
| Last updated | Jan 22nd, 2013 - about 12 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 | 1609871979 | NPPES |
| Arizona | Other | 05306 | PACIFICARE |
| Arizona | Other | IZ5847 | PACIFICARE |
| Arizona | Other | 860361052 | PACIFICARE |
| Arizona | Other | 860361052 | PACIFICARE |
| Arizona | MEDICAID | 250176 | PACIFICARE |
| Arizona | Other | 626805 | PACIFICARE |
| Arizona | Other | 860361052 | PACIFICARE |
| Arizona | Other | 860361052 | PACIFICARE |
| Arizona | Other | 860361052 | PACIFICARE |
| Arizona | MEDICAID | 25017602 | PACIFICARE |
| Arizona | MEDICAID | 3251076 | PACIFICARE |
| Arizona | Other | 860361052B | PACIFICARE |
| Arizona | Other | AZ0256070 | PACIFICARE |
| Arizona | Other | 15448 | PACIFICARE |
| Arizona | Other | 4275000 | PACIFICARE |
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