Palazzo, Melissa S

Palazzo, Melissa S is an individual health care provider with primary practice located at 400 N State Of Franklin Rd Room 2746, Johnson City TN 37604-6035. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Critical Care Medicine. Allopathic & Osteopathic Physicians / Critical Care Medicine is her primary health care specialty. Palazzo, Melissa S can be contacted via phone (423) 431-2390.

Contact Information

Primary practice address
400 N State Of Franklin Rd Room 2746 Johnson City TN 37604-6035
Phone: (423) 431-2390
Fax: (423) 431-6715
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 021636 Louisiana
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X 43626 Tennessee

Profile Details

NPI number 1740272020
LBN Legal business name Palazzo, Melissa S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 22nd, 2005
Last updated Mar 2nd, 2011 - about 15 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 1740272020 NPPES
Tennessee MEDICAID 1507621

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