Mellott, Stephen
Mellott, Stephen is an individual health care provider with primary practice located at 10435 Downsville Pike , Hagerstown MD 21740-1732. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Mellott, Stephen can be contacted via phone (301) 766-8423.Contact Information
Primary practice address
10435 Downsville Pike
Hagerstown MD 21740-1732
Phone: (301) 766-8423
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 10489 | Maryland |
Profile Details
| NPI number | 1083680359 |
|---|---|
| LBN Legal business name | Mellott, Stephen |
| Credentials | LCSWC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 27th, 2006 |
| Last updated | Dec 20th, 2018 - about 8 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 | 1083680359 | NPPES |
| Maryland | MEDICAID | 986965400 |
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