Provider Demographics
NPI:1821395989
Name:STEIN, MELISSA LORIN (DC)
Entity Type:Individual
Prefix:DR
First Name:MELISSA
Middle Name:LORIN
Last Name:STEIN
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 1:487 2ND STREET PIKE
Mailing Address - Street 2:APT 2
Mailing Address - City:SOUTHAMPTON
Mailing Address - State:PA
Mailing Address - Zip Code:18966
Mailing Address - Country:US
Mailing Address - Phone:267-793-0506
Mailing Address - Fax:
Practice Address - Street 1:347 2ND STREET PIKE STE 2
Practice Address - Street 2:
Practice Address - City:SOUTHAMPTON
Practice Address - State:PA
Practice Address - Zip Code:18966-3831
Practice Address - Country:US
Practice Address - Phone:267-793-0506
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-02-24
Last Update Date:2017-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ38MC00686100111N00000X
PADC010198111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor