Smith, Melinda Elise

Smith, Melinda Elise is an individual health care provider with primary practice located at 5812 Maplecrest Rd , Fort Wayne IN 46835-3840. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Smith, Melinda Elise can be contacted via phone (260) 969-7977.

Contact Information

Primary practice address
5812 Maplecrest Rd Fort Wayne IN 46835-3840
Phone: (260) 969-7977
Fax: (260) 969-6590
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X MT209000676 Indiana

Profile Details

NPI number 1598168197
LBN Legal business name Smith, Melinda Elise
Credentials L.M.T. , M.M.P
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 27th, 2014
Last updated Sep 27th, 2014 - about 12 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 1598168197 NPPES
Indiana Other MT209000676 MASSAGE THERAPY LICENSE NUMBER

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