Provider Demographics
NPI:1306826649
Name:VOLK, MELODY ANN (DC)
Entity Type:Individual
Prefix:DR
First Name:MELODY
Middle Name:ANN
Last Name:VOLK
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:PO BOX 1654
Mailing Address - Street 2:
Mailing Address - City:PULLMAN
Mailing Address - State:WA
Mailing Address - Zip Code:99163-1621
Mailing Address - Country:US
Mailing Address - Phone:509-332-2225
Mailing Address - Fax:
Practice Address - Street 1:115 SW BLAINE ST
Practice Address - Street 2:STE C
Practice Address - City:PULLMAN
Practice Address - State:WA
Practice Address - Zip Code:99163-2813
Practice Address - Country:US
Practice Address - Phone:509-332-2225
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-01-20
Last Update Date:2007-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACH00033991111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
WAGAB21380Medicare ID - Type Unspecified
WAU84942Medicare UPIN