Provider Demographics
NPI:1639686892
Name:DOYLE, MELISSA REGINA (DC)
Entity Type:Individual
Prefix:
First Name:MELISSA
Middle Name:REGINA
Last Name:DOYLE
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 1:990 BEN FRANKLIN HWY E
Mailing Address - Street 2:
Mailing Address - City:DOUGLASSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:19518-9547
Mailing Address - Country:US
Mailing Address - Phone:610-385-1444
Mailing Address - Fax:610-385-1441
Practice Address - Street 1:990 BEN FRANKLIN HWY E
Practice Address - Street 2:
Practice Address - City:DOUGLASSVILLE
Practice Address - State:PA
Practice Address - Zip Code:19518-9547
Practice Address - Country:US
Practice Address - Phone:610-385-1444
Practice Address - Fax:610-385-1441
Is Sole Proprietor?:Yes
Enumeration Date:2018-01-09
Last Update Date:2018-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC011320111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor