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Contact Information

MELISSA J KOEBERNICK
13021 110TH ST
MENAHGA, MN56464-3586
 Phone: 218-564-5920
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Attendant Care Provider

3747A0650X
Indicates primary specialty

NPI Profile & details for MELISSA J KOEBERNICK · (Female)

NPI Number 1114664307
Status Active
Credentials
Entity Individual
Enumeration date 05/18/2022
Last updated 05/18/2022 - About 4 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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