1265740948 NPI number — MRS. MELISSA ANN WIREBAUGH

Table of content: MRS. MELISSA ANN WIREBAUGH (NPI 1265740948)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1265740948 NPI number — MRS. MELISSA ANN WIREBAUGH

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
WIREBAUGH
Provider First Name:
MELISSA
Provider Middle Name:
ANN
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
FALING
Provider Other First Name:
MELISSA
Provider Other Middle Name:
ANN
Provider Other Name Prefix Text:
MISS
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1265740948
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
09/16/2010
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 44
Provider Second Line Business Mailing Address:
51 HOWDER STREET
Provider Business Mailing Address City Name:
HILLSDALE
Provider Business Mailing Address State Name:
MI
Provider Business Mailing Address Postal Code:
49242
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
517-425-0654
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
47 EAST SAINT JOE ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
HILLSDALE
Provider Business Practice Location Address State Name:
MI
Provider Business Practice Location Address Postal Code:
49242
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
517-607-5350
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
09/16/2010

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 385H00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)