Provider Demographics
NPI:1306520457
Name:BACH, MEGAN (AUD)
Entity type:Individual
Prefix:
First Name:MEGAN
Middle Name:
Last Name:BACH
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:411 SAPPHIRE LN
Mailing Address - Street 2:
Mailing Address - City:RAPID CITY
Mailing Address - State:SD
Mailing Address - Zip Code:57701-6326
Mailing Address - Country:US
Mailing Address - Phone:605-868-2459
Mailing Address - Fax:
Practice Address - Street 1:241 MINNESOTA ST
Practice Address - Street 2:
Practice Address - City:RAPID CITY
Practice Address - State:SD
Practice Address - Zip Code:57701-6219
Practice Address - Country:US
Practice Address - Phone:605-868-2459
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-09
Last Update Date:2023-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist