Provider Demographics
NPI:1891035655
Name:CRAIG, MELANIE NICOLE (DC)
Entity Type:Individual
Prefix:DR
First Name:MELANIE
Middle Name:NICOLE
Last Name:CRAIG
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:PO BOX 262
Mailing Address - Street 2:
Mailing Address - City:HOLDEN
Mailing Address - State:ME
Mailing Address - Zip Code:04429-0262
Mailing Address - Country:US
Mailing Address - Phone:207-991-7907
Mailing Address - Fax:
Practice Address - Street 1:17A MAIN ST
Practice Address - Street 2:
Practice Address - City:BELFAST
Practice Address - State:ME
Practice Address - Zip Code:04915-6821
Practice Address - Country:US
Practice Address - Phone:207-991-7907
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-02-15
Last Update Date:2013-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MECR2126111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor