MEDICARE: DR. ROBERT MELVIN SCHLEINKOFER MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	01020184A	IN

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	P00867159	OTHER	IN	MEDICARE RR

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	000000651033	OTHER	IN	ANTHEM

General Provider Information

NPI Number	:	1306855325
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ROBERT MELVIN SCHLEINKOFER MD

Provider Business Mailing Address
First Line	:	1234 E DUPONT RD
Second Line	:	SUITE 3
City	:	FORT WAYNE
State	:	IN
Zip	:	46825-1545
Country	:	US
Telephone Number	:	260-373-9700
Fax Number	:	260-373-9740

Provider Business Practice Location Address
First Line	:	3217 LAKE AVE
Second Line	:
City	:	FORT WAYNE
State	:	IN
Zip	:	46805-5427
Country	:	US
Telephone Number	:	260-422-8591
Fax Number	:	260-423-4409

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/07/2006
Last Update Date	:	12/14/2010

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