Plutz, Melissa Jean
Plutz, Melissa Jean is an individual health care provider with primary practice located at 1800 Appleton Rd , Menasha WI 54952-3727. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Plutz, Melissa Jean can be contacted via phone (920) 968-6228.Contact Information
Primary practice address
1800 Appleton Rd
Menasha WI 54952-3727
Phone: (920) 968-6228
Fax: (920) 725-2572
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | 1192-154 | Wisconsin |
Profile Details
| NPI number | 1033259312 |
|---|---|
| LBN Legal business name | Plutz, Melissa Jean |
| Credentials | M.S. CCC-SLP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 7th, 2007 |
| Last updated | Jul 8th, 2007 - about 19 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 | 1033259312 | NPPES |
| Wisconsin | Other | 1192-154 | STATE LICENSE |
| Wisconsin | MEDICAID | 42721600 | STATE LICENSE |
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