Etzler, Melissa A

Etzler, Melissa A is an sole proprietor health care provider with primary practice located at 11650 Lantern Rd Ste 235 , Fishers IN 46038-3106. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Etzler, Melissa A can be contacted via phone (317) 576-8410.

Contact Information

Primary practice address
11650 Lantern Rd Ste 235 Fishers IN 46038-3106
Phone: (317) 576-8410
Fax: (888) 654-4116
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 31002303A Indiana

Profile Details

NPI number 1366703456
LBN Legal business name Etzler, Melissa A
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 5th, 2012
Last updated Jun 5th, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1366703456 NPPES
Indiana Other 31002303A OCCUPATIONAL THERAPY LICENSE

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