Quilty, Melissa Shannon

Quilty, Melissa Shannon is an sole proprietor health care provider with primary practice located at 3574 Us 1 S Ste 102 , St Augustine FL 32086-6467. 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. Quilty, Melissa Shannon can be contacted via phone (904) 217-7161.

Contact Information

Primary practice address
3574 Us 1 S Ste 102 St Augustine FL 32086-6467
Phone: (904) 217-7161
Fax: (904) 217-4075
Website:
Map and Directions

Health care specialties

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

Profile Details

NPI number 1487132239
LBN Legal business name Quilty, Melissa Shannon
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 3rd, 2018
Last updated Aug 3rd, 2018 - about 8 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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