Provider Demographics
NPI:1720364383
Name:MICHAEL MELANDER DC LLC
Entity Type:Organization
Organization Name:MICHAEL MELANDER DC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:MELANDER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:978-502-9913
Mailing Address - Street 1:1 ARTHUR WELCH DR
Mailing Address - Street 2:
Mailing Address - City:NEWBURYPORT
Mailing Address - State:MA
Mailing Address - Zip Code:01950-6200
Mailing Address - Country:US
Mailing Address - Phone:978-406-9700
Mailing Address - Fax:
Practice Address - Street 1:13 1/2 POND ST
Practice Address - Street 2:
Practice Address - City:NEWBURYPORT
Practice Address - State:MA
Practice Address - Zip Code:01950-3900
Practice Address - Country:US
Practice Address - Phone:978-406-9700
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-10-27
Last Update Date:2023-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA3322111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty