Healthcare Provider Details

I. General information

NPI: 1366483554
Provider Name (Legal Business Name): MELANIE FACKLER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/09/2006
Last Update Date: 11/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2300 SOUTH ST
LAFAYETTE IN
47904-2971
US

IV. Provider business mailing address

5000 CHESHIRE LN N
PLYMOUTH MN
55446-3706
US

V. Phone/Fax

Practice location:
  • Phone: 765-447-0131
  • Fax: 765-446-8168
Mailing address:
  • Phone: 888-333-9152
  • Fax: 763-268-4240

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License Number17001121A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: