Provider Demographics
NPI:1497860878
Name:BATTLE, MELISSA M (DC)
Entity Type:Individual
Prefix:DR
First Name:MELISSA
Middle Name:M
Last Name:BATTLE
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 1:110 PACKERLAND DR
Mailing Address - Street 2:SUITE B
Mailing Address - City:GREEN BAY
Mailing Address - State:WI
Mailing Address - Zip Code:54303-4861
Mailing Address - Country:US
Mailing Address - Phone:920-338-9796
Mailing Address - Fax:
Practice Address - Street 1:110 PACKERLAND DR
Practice Address - Street 2:SUITE B
Practice Address - City:GREEN BAY
Practice Address - State:WI
Practice Address - Zip Code:54303-4861
Practice Address - Country:US
Practice Address - Phone:920-338-9796
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-19
Last Update Date:2015-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI3154111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor