Provider Demographics
NPI:1629046560
Name:FISCHER, MELISSA ANNE (DC)
Entity Type:Individual
Prefix:DR
First Name:MELISSA
Middle Name:ANNE
Last Name:FISCHER
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 1:2157 DENTON RD
Mailing Address - Street 2:
Mailing Address - City:DOTHAN
Mailing Address - State:AL
Mailing Address - Zip Code:36303-2202
Mailing Address - Country:US
Mailing Address - Phone:334-794-4648
Mailing Address - Fax:334-446-0698
Practice Address - Street 1:2157 DENTON RD
Practice Address - Street 2:
Practice Address - City:DOTHAN
Practice Address - State:AL
Practice Address - Zip Code:36303-2202
Practice Address - Country:US
Practice Address - Phone:334-794-4648
Practice Address - Fax:334-446-0698
Is Sole Proprietor?:No
Enumeration Date:2006-03-08
Last Update Date:2013-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1700111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL51029411OtherBCBS
AL51029411OtherBCBS
AL000029411Medicare ID - Type Unspecified