Prudhomme, Melissa M

Prudhomme, Melissa M is an individual health care provider with primary practice located at 1132 Central Ave Ne , Minneapolis MN 55413-1512. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Prudhomme, Melissa M can be contacted via phone (612) 902-5932.

Contact Information

Primary practice address
1132 Central Ave Ne Minneapolis MN 55413-1512
Phone: (612) 902-5932
Fax: (612) 236-1701
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 302411 Minnesota

Profile Details

NPI number 1730449935
LBN Legal business name Prudhomme, Melissa M
Credentials LADC
Entity Individual
Sole proprietor 1 No
Enumeration date May 22nd, 2012
Last updated May 22nd, 2012 - about 14 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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