Weintraub, Melissa A

Weintraub, Melissa A is an individual health care provider with primary practice located at 335 Prairie Ave , Providence RI 02905-2426. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Weintraub, Melissa A can be contacted via phone (401) 444-0430.

Contact Information

Primary practice address
335 Prairie Ave Providence RI 02905-2426
Phone: (401) 444-0430
Fax: (401) 444-0489
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 21227 Massachusetts
Dental Providers / General Practice 1223G0001X DEN03007 Rhode Island

Profile Details

NPI number 1548318884
LBN Legal business name Weintraub, Melissa A
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 5th, 2007
Last updated Aug 3rd, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1548318884 NPPES
New Hampshire MEDICAID 30303535
New Hampshire MEDICAID 0208868

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