Healthcare Provider Details

I. General information

NPI: 1538593777
Provider Name (Legal Business Name): FAITH MICHELLE LESHNER MELTZER LAC, LOM, DIPLO, DAC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: FAITH MICHELLE LESHNER MELTZER LAC, LOM, DIPLO, DAC

II. Dates (important events)

Enumeration Date: 08/23/2013
Last Update Date: 01/01/2022
Certification Date: 07/09/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6 S SYCAMORE ST
NEWTOWN PA
18940-1533
US

IV. Provider business mailing address

59 PORTSMOUTH CT
SOUTHAMPTON PA
18966-2621
US

V. Phone/Fax

Practice location:
  • Phone: 267-968-1479
  • Fax: 267-274-9179
Mailing address:
  • Phone: 267-968-1478
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License NumberAK001091
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: