Provider Demographics
NPI:1659756195
Name:HOULE, MELINDA ANN (DC)
Entity Type:Individual
Prefix:
First Name:MELINDA
Middle Name:ANN
Last Name:HOULE
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 1:12 PORTWALK PL
Mailing Address - Street 2:
Mailing Address - City:PORTSMOUTH
Mailing Address - State:NH
Mailing Address - Zip Code:03801-4086
Mailing Address - Country:US
Mailing Address - Phone:603-431-4200
Mailing Address - Fax:603-431-4202
Practice Address - Street 1:291 MAIN STREET
Practice Address - Street 2:
Practice Address - City:ALTON
Practice Address - State:NH
Practice Address - Zip Code:03809
Practice Address - Country:US
Practice Address - Phone:603-431-4200
Practice Address - Fax:603-431-4202
Is Sole Proprietor?:Yes
Enumeration Date:2015-07-27
Last Update Date:2019-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH1035111N00000X
NY012708111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor