Healthcare Provider Details

I. General information

NPI: 1265972640
Provider Name (Legal Business Name): MEGAN PRCHLIK BSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/03/2017
Last Update Date: 03/03/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1110 ELDON BAKER DR
FLINT MI
48507-1923
US

IV. Provider business mailing address

70 LAFAYETTE ST
PONTIAC MI
48342-2033
US

V. Phone/Fax

Practice location:
  • Phone: 810-232-2766
  • Fax: 810-232-2782
Mailing address:
  • Phone: 810-232-2766
  • Fax: 810-232-2782

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: