Warren, Melanie S

Warren, Melanie S is an individual health care provider with primary practice located at 201 E Layfair Dr Suite 125, Flowood MS 39232-7604. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Warren, Melanie S can be contacted via phone (601) 420-6867.

Contact Information

Primary practice address
201 E Layfair Dr Suite 125 Flowood MS 39232-7604
Phone: (601) 420-6867
Fax: (601) 664-1006
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT1480 Mississippi

Profile Details

NPI number 1740285451
LBN Legal business name Warren, Melanie S
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 17th, 2005
Last updated Feb 18th, 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 1740285451 NPPES
Mississippi MEDICAID 08935713
Mississippi Other 650012643

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