Provider Demographics
NPI:1245271477
Name:DE MELO, FRANCES EMILY ALVES (DC)
Entity type:Individual
Prefix:DR
First Name:FRANCES
Middle Name:EMILY ALVES
Last Name:DE MELO
Suffix:
Gender:F
Credentials:DC
Other - Prefix:DR
Other - First Name:FRANCES
Other - Middle Name:EMILY
Other - Last Name:ALVES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:12375 W CHINDEN BLVD
Mailing Address - Street 2:STE H
Mailing Address - City:BOISE
Mailing Address - State:ID
Mailing Address - Zip Code:83713-1371
Mailing Address - Country:US
Mailing Address - Phone:208-939-7710
Mailing Address - Fax:208-322-0339
Practice Address - Street 1:12375 W CHINDEN BLVD
Practice Address - Street 2:STE H
Practice Address - City:BOISE
Practice Address - State:ID
Practice Address - Zip Code:83713-1371
Practice Address - Country:US
Practice Address - Phone:208-939-7710
Practice Address - Fax:208-322-0339
Is Sole Proprietor?:No
Enumeration Date:2006-06-09
Last Update Date:2009-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IDCHIA-928111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor