Provider Demographics
NPI:1659524973
Name:CHIK, MELISSA L (PAC)
Entity Type:Individual
Prefix:MRS
First Name:MELISSA
Middle Name:L
Last Name:CHIK
Suffix:
Gender:F
Credentials:PAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:14001 E ILIFF AVE
Mailing Address - Street 2:AURORA
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80014-1405
Mailing Address - Country:US
Mailing Address - Phone:303-996-1020
Mailing Address - Fax:303-751-4514
Practice Address - Street 1:14001 E ILIFF AVE
Practice Address - Street 2:AURORA
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80014-1405
Practice Address - Country:US
Practice Address - Phone:303-996-1020
Practice Address - Fax:303-751-4514
Is Sole Proprietor?:No
Enumeration Date:2008-10-30
Last Update Date:2008-10-30
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CO2699363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical