Provider Demographics
NPI:1841510690
Name:BIXLER, MELINDA R
Entity type:Individual
Prefix:
First Name:MELINDA
Middle Name:R
Last Name:BIXLER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1906 EBONY DR
Mailing Address - Street 2:
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17402-4709
Mailing Address - Country:US
Mailing Address - Phone:717-858-2423
Mailing Address - Fax:717-347-7166
Practice Address - Street 1:1906 EBONY DR
Practice Address - Street 2:
Practice Address - City:YORK
Practice Address - State:PA
Practice Address - Zip Code:17402-4709
Practice Address - Country:US
Practice Address - Phone:717-858-2423
Practice Address - Fax:717-347-7166
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-03
Last Update Date:2010-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator