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Contact Information

MELISSA BEVILL
111 E 12TH ST
ADA, OK74820-6501
 Phone: 580-436-2690
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Professional

101YP2500X
Indicates primary specialty

NPI Profile & details for MELISSA BEVILL · (Female)

NPI # 1861923237
Status Active
Credentials
Entity Individual
Enumeration date 03/27/2017
Last updated 03/27/2017 - About 9 years ago
Sole proprietor 1 Yes
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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