MRS. MIRIAM REBECCA MELTZER NPI 1194710566

NPI Information

NPI: 1194710566
Provider Name: MRS. MIRIAM REBECCA MELTZER
Classification: Durable Medical Equipment & Medical Supplies - 332BC3200X
Entity Type: Individual

Specialization: Customized Equipment

Address:
3007 W KENT DR
CARBONDALE, IL
ZIP 62901
Phone: (618) 457-7788
Get Directions

MRS. Miriam Rebecca Meltzer is a customized equipment durable medical equipment medical supplies in Carbondale, IL. MRS. Miriam Rebecca Meltzer NPI is 1194710566. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3007 W KENT DR
CARBONDALE, IL
ZIP 62901-920
Phone: (618) 457-7788
Fax: (618) 457-7788

The enumeration date for this NPI number is 9/13/2005 and was last updated on 2/16/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	332BC3200X	Durable Medical Equipment & Medical Supplies	Customized Equipment			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0674950001	MEDICARE NSC	ILLINOIS
2	O67495	MEDICARE UPIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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