Melvin, Michele A.

Melvin, Michele A. is an sole proprietor health care provider with primary practice located at 908 Trailway Dr , Champaign IL 61822-2080. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Melvin, Michele A. can be contacted via phone (217) 607-1600.

Contact Information

Primary practice address
908 Trailway Dr Champaign IL 61822-2080
Phone: (217) 607-1600
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 180003314 Illinois

Profile Details

NPI number 1184755449
LBN Legal business name Melvin, Michele A.
Credentials EDS, LCPC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 8th, 2007
Last updated Apr 25th, 2008 - about 18 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 1184755449 NPPES
Illinois Other 01522514 BCBS PROVIDER #
Illinois Other 180003314 BCBS PROVIDER #

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