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NPI Code Detail

MEDICARE: CHARLES EDWIN MALLERS

MEDICARE: CHARLES EDWIN MALLERS
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
1237700000XHearing Instrument Specialist17001287AIN

General Provider Information

NPI Number : 1215430780
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHARLES EDWIN MALLERS
Provider Business Mailing Address
First Line : 2020 S MEMORIAL DR
Second Line :
City : NEW CASTLE
State : IN
Zip : 47362-1272
Country : US
Telephone Number : 765-521-2145
Fax Number : 765-521-2885
Provider Business Practice Location Address
First Line : 2020 S MEMORIAL DR
Second Line :
City : NEW CASTLE
State : IN
Zip : 47362-1272
Country : US
Telephone Number : 765-521-2145
Fax Number : 765-521-2885
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/12/2018
Last Update Date : 03/12/2018

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Directions to “ CHARLES EDWIN MALLERS ” Practice Location

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