| Malta Consulting And Facilitation Services | |
|
592 S Park Dr Greenfield IN 46140-8522 | |
| (317) 833-6563 | |
| Not Available |
| Full Name | Malta Consulting And Facilitation Services |
|---|---|
| Speciality | Social Worker |
| Location | 592 S Park Dr, Greenfield, Indiana |
| Authorized Official Name and Position | Nancy L Fisher (OWNER) |
| Authorized Official Contact | 3178336563 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Malta Consulting And Facilitation Services 592 S Park Dr Greenfield IN 46140-8522 Ph: (317) 833-6563 | Malta Consulting And Facilitation Services 592 S Park Dr Greenfield IN 46140-8522 Ph: (317) 833-6563 |
| NPI Number | 1255946398 |
|---|---|
| Provider Enumeration Date | 09/15/2020 |
| Last Update Date | 07/14/2023 |
| Certification Date | 07/14/2023 |
| Medicare PECOS PAC ID | 4688083256 |
|---|---|
| Medicare Enrollment ID | O20210511003103 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255946398 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Nancy Fisher |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902248008 PECOS PAC ID: 5496050023 Enrollment ID: I20160219000829 |
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