Provider Demographics
NPI:1386900900
Name:BISHOP ERWIN, MELINDA
Entity type:Individual
Prefix:
First Name:MELINDA
Middle Name:
Last Name:BISHOP ERWIN
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 1:706 EXCHANGE ST
Mailing Address - Street 2:
Mailing Address - City:EMPORIA
Mailing Address - State:KS
Mailing Address - Zip Code:66801-3010
Mailing Address - Country:US
Mailing Address - Phone:620-340-6300
Mailing Address - Fax:620-340-6390
Practice Address - Street 1:313 W 4TH AVE
Practice Address - Street 2:
Practice Address - City:EMPORIA
Practice Address - State:KS
Practice Address - Zip Code:66801-4149
Practice Address - Country:US
Practice Address - Phone:620-340-6305
Practice Address - Fax:620-340-6390
Is Sole Proprietor?:Yes
Enumeration Date:2012-04-09
Last Update Date:2012-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225400000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation Practitioner