Mello, Matthew

Mello, Matthew is an individual health care provider with primary practice located at 530 N Main St , Providence RI 02904-5762. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Mello, Matthew can be contacted via phone (401) 415-8842.

Contact Information

Primary practice address
530 N Main St Providence RI 02904-5762
Phone: (401) 415-8842
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA00678 Rhode Island
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA4383 Massachusetts

Profile Details

NPI number 1952660136
LBN Legal business name Mello, Matthew
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date May 9th, 2012
Last updated Sep 27th, 2023 - about 3 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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