Provider Demographics
NPI:1922301217
Name:HENDRICK, MELINDA C (DC)
Entity Type:Individual
Prefix:
First Name:MELINDA
Middle Name:C
Last Name:HENDRICK
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 1:6901 S YOSEMITE ST
Mailing Address - Street 2:STE 102
Mailing Address - City:CENTENNIAL
Mailing Address - State:CO
Mailing Address - Zip Code:80112-1413
Mailing Address - Country:US
Mailing Address - Phone:303-221-1223
Mailing Address - Fax:303-770-6018
Practice Address - Street 1:6901 S YOSEMITE ST
Practice Address - Street 2:STE 102
Practice Address - City:CENTENNIAL
Practice Address - State:CO
Practice Address - Zip Code:80112-1413
Practice Address - Country:US
Practice Address - Phone:303-221-1223
Practice Address - Fax:303-770-6018
Is Sole Proprietor?:No
Enumeration Date:2010-12-08
Last Update Date:2020-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA31806111N00000X
WACH 60340202111N00000X
CO6613111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor