Shine, Melba Laniece
Shine, Melba Laniece is an sole proprietor health care provider with primary practice located at 263 Blue Point Ave , Blue Point NY 11715-1224. She recently has only one registered license in Nursing Service Providers / Registered Nurse, which is considered as her primary health care specialty. Shine, Melba Laniece can be contacted via phone (631) 419-6737.Contact Information
Primary practice address
263 Blue Point Ave
Blue Point NY 11715-1224
Phone: (631) 419-6737
Fax: (631) 868-3498
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Registered Nurse | 163W00000X | 602544 | New York |
Profile Details
| NPI number | 1912177692 |
|---|---|
| LBN Legal business name | Shine, Melba Laniece |
| Credentials | Registered Nurse (RN) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 10th, 2008 |
| Last updated | Nov 2nd, 2016 - about 10 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 | 1912177692 | NPPES |
| New York | MEDICAID | 02572796 |
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