Basic Information
| Provider Information | |||||||||
| NPI: | 1427150937 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | SCHREINER | ||||||||
| FirstName: | MELANIE | ||||||||
| MiddleName: | A | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 221 N CELIA AVE | ||||||||
| Address2: | |||||||||
| City: | MUNCIE | ||||||||
| State: | IN | ||||||||
| PostalCode: | 473034609 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7657473141 | ||||||||
| FaxNumber: | 7657411983 | ||||||||
| Practice Location | |||||||||
| Address1: | 221 N CELIA AVE | ||||||||
| Address2: | |||||||||
| City: | MUNCIE | ||||||||
| State: | IN | ||||||||
| PostalCode: | 473034609 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7657473141 | ||||||||
| FaxNumber: | 7657411983 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 09/04/2006 | ||||||||
| LastUpdateDate: | 09/09/2013 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | 01058031A | IN | Y | Allopathic & Osteopathic Physicians | Family Medicine |
ID Information
| ID | Type | State | Issuer | Description | 200528790 | 05 | IN | MEDICAID | 01058031A | 01 | IN | INDIANA PHYSICIAN LICENSE | OTHER | P00413042 | 01 | IN | RR MEDICARE | OTHER |