Vandenberg, Melissa Bearden

Vandenberg, Melissa Bearden is an individual health care provider with primary practice located at 1855 Springhill Ave , Mobile AL 36607-2301. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as her primary health care specialty. Vandenberg, Melissa Bearden can be contacted via phone (251) 471-3544.

Contact Information

Primary practice address
1855 Springhill Ave Mobile AL 36607-2301
Phone: (251) 471-3544
Fax: (251) 476-7254
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA-63 Alabama

Profile Details

NPI number 1386642148
LBN Legal business name Vandenberg, Melissa Bearden
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 14th, 2005
Last updated Dec 7th, 2009 - about 17 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 1386642148 NPPES
Alabama Other 510-42399 BLUE CROSS BLUE SHIELD

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