Provider Demographics
NPI:1477633089
Name:DINGLE, MELISSA BERG (DC)
Entity Type:Individual
Prefix:DR
First Name:MELISSA
Middle Name:BERG
Last Name:DINGLE
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 1396
Mailing Address - Street 2:3405 LOY LAKE RD
Mailing Address - City:SHERMAN
Mailing Address - State:TX
Mailing Address - Zip Code:75091-1396
Mailing Address - Country:US
Mailing Address - Phone:903-893-6551
Mailing Address - Fax:903-893-6552
Practice Address - Street 1:3405 N LOY LAKE RD
Practice Address - Street 2:
Practice Address - City:SHERMAN
Practice Address - State:TX
Practice Address - Zip Code:75090-1744
Practice Address - Country:US
Practice Address - Phone:903-893-6551
Practice Address - Fax:903-893-6552
Is Sole Proprietor?:No
Enumeration Date:2006-10-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX8209111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor