Provider Demographics
NPI:1730281049
Name:LEAMER, MELISSA ELIZABETH (DC)
Entity Type:Individual
Prefix:DR
First Name:MELISSA
Middle Name:ELIZABETH
Last Name:LEAMER
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 1:810 4TH ST
Mailing Address - Street 2:SUITE 200
Mailing Address - City:MODESTO
Mailing Address - State:CA
Mailing Address - Zip Code:95351-2803
Mailing Address - Country:US
Mailing Address - Phone:209-338-2273
Mailing Address - Fax:209-338-2274
Practice Address - Street 1:810 4TH ST
Practice Address - Street 2:SUITE 200
Practice Address - City:MODESTO
Practice Address - State:CA
Practice Address - Zip Code:95351-2803
Practice Address - Country:US
Practice Address - Phone:209-338-2273
Practice Address - Fax:209-338-2274
Is Sole Proprietor?:No
Enumeration Date:2006-09-05
Last Update Date:2017-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC28974111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAU98541Medicare UPIN
CADC0289740Medicare ID - Type Unspecified