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NPI Code Detail

MEDICARE: MELINDA ALLRED HIS

MEDICARE: MELINDA ALLRED HIS
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 Specialist17001393AIN

General Provider Information

NPI Number : 1679040620
Entity Type Code : Individual
Provider Name (Legal Business Name) : MELINDA ALLRED HIS
Provider Business Mailing Address
First Line : 6700 E VIRGINIA ST
Second Line :
City : EVANSVILLE
State : IN
Zip : 47715-4034
Country : US
Telephone Number : 812-477-2710
Fax Number :
Provider Business Practice Location Address
First Line : 6700 E VIRGINIA ST
Second Line :
City : EVANSVILLE
State : IN
Zip : 47715-4034
Country : US
Telephone Number : 812-477-2710
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/29/2018
Last Update Date : 10/29/2018

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Directions to “ MELINDA ALLRED HIS” Practice Location

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