Shuleva, Melissa Pecko

Shuleva, Melissa Pecko is an individual health care provider with primary practice located at 2415 Mccallie Ave , Chattanooga TN 37404-3322. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Shuleva, Melissa Pecko can be contacted via phone (423) 624-2696.

Contact Information

Primary practice address
2415 Mccallie Ave Chattanooga TN 37404-3322
Phone: (423) 624-2696
Fax: (423) 697-2059
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA-626 Alabama
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 1830 Tennessee

Profile Details

NPI number 1265673552
LBN Legal business name Shuleva, Melissa Pecko
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 16th, 2009
Last updated Jan 10th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1265673552 NPPES
Tennessee Other 4256870 BCBSTN
Tennessee MEDICAID 1518643 BCBSTN

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