Mello, Jeffrey A
Mello, Jeffrey A is an individual health care provider with primary practice located at 5301 F St Suite 111, Sacramento CA 95819-3226. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. Mello, Jeffrey A can be contacted via phone (916) 452-8291.Contact Information
Primary practice address
5301 F St Suite 111
Sacramento CA 95819-3226
Phone: (916) 452-8291
Fax: (916) 452-1733
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | PA03053 | Texas |
| Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | 16836 | California |
Profile Details
| NPI number | 1245239201 |
|---|---|
| LBN Legal business name | Mello, Jeffrey A |
| Credentials | PAC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 20th, 2005 |
| Last updated | Jul 8th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1245239201 | NPPES |
| California | MEDICAID | GR0046820 |
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