Miller, Melissa Mary

Miller, Melissa Mary is an sole proprietor health care provider with primary practice located at N1508 Shari Ln , Fort Atkinson WI 53538-9381. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Miller, Melissa Mary can be contacted via phone (920) 723-1823.

Contact Information

Primary practice address
N1508 Shari Ln Fort Atkinson WI 53538-9381
Phone: (920) 723-1823
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X 306805-031 Wisconsin

Profile Details

NPI number 1902041619
LBN Legal business name Miller, Melissa Mary
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 9th, 2008
Last updated Dec 9th, 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 1902041619 NPPES
Wisconsin MEDICAID 35061500

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