Provider Demographics
NPI:1225108822
Name:MELSHA, JILL MARIE (DC)
Entity Type:Individual
Prefix:DR
First Name:JILL
Middle Name:MARIE
Last Name:MELSHA
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:329 GOLF HILLS RD
Mailing Address - Street 2:
Mailing Address - City:HAVERTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19083-1027
Mailing Address - Country:US
Mailing Address - Phone:610-527-9440
Mailing Address - Fax:610-525-1503
Practice Address - Street 1:100 QUAKER LN
Practice Address - Street 2:
Practice Address - City:VILLANOVA
Practice Address - State:PA
Practice Address - Zip Code:19085-1324
Practice Address - Country:US
Practice Address - Phone:610-527-9440
Practice Address - Fax:610-525-1503
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-09
Last Update Date:2023-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA42-1675621111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor