Morley, Melissa Ann
Morley, Melissa Ann is an sole proprietor health care provider with primary practice located at 7562 Old Route 13 , Marion IL 62959-7776. She recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Dentist. Dental Providers / General Practice is her primary health care specialty. Morley, Melissa Ann can be contacted via phone (618) 993-8333.Contact Information
Primary practice address
7562 Old Route 13
Marion IL 62959-7776
Phone: (618) 993-8333
Fax: (618) 993-8335
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 2023027809 | Missouri |
| Dental Providers / General Practice | 1223G0001X | 019.024825 | Illinois |
| Dental Providers / Dentist | 122300000X | 019.024825 | Illinois |
| Dental Providers / General Practice | 1223G0001X | 12012574A | Indiana |
Profile Details
| NPI number | 1003954819 |
|---|---|
| LBN Legal business name | Morley, Melissa Ann |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 2nd, 2007 |
| Last updated | Feb 19th, 2025 - about last year |
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 | 1003954819 | NPPES |
| Illinois | MEDICAID | 019-024825 | |
| Illinois | MEDICAID | 201382410 | |
| Illinois | MEDICAID | 400133490 |
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