Walters, Melissa A.
Walters, Melissa A. is an individual health care provider with primary practice located at 121 Medical Center Dr Suite 3100, Brunswick ME 04011-2653. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Walters, Melissa A. can be contacted via phone (207) 729-7939.Contact Information
Primary practice address
121 Medical Center Dr Suite 3100
Brunswick ME 04011-2653
Phone: (207) 729-7939
Fax: (207) 725-4717
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA695 | Maine |
Profile Details
| NPI number | 1699890137 |
|---|---|
| LBN Legal business name | Walters, Melissa A. |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 21st, 2007 |
| Last updated | Feb 12th, 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 | 1699890137 | NPPES |
| Maine | MEDICAID | 432043899 |
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