Provider Demographics
NPI:1144493511
Name:CARRICK, MELISSA J (DC)
Entity type:Individual
Prefix:DR
First Name:MELISSA
Middle Name:J
Last Name:CARRICK
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3355 KESWICK RD
Mailing Address - Street 2:THE CARRIAGE HOUSE, SUITE 200
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21211-2648
Mailing Address - Country:US
Mailing Address - Phone:410-235-9355
Mailing Address - Fax:410-235-9357
Practice Address - Street 1:3355 KESWICK RD
Practice Address - Street 2:THE CARRIAGE HOUSE, SUITE 200
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21211-2648
Practice Address - Country:US
Practice Address - Phone:410-235-9355
Practice Address - Fax:410-235-9357
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-08
Last Update Date:2009-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEF1-0000686111N00000X
MD03592111N00000X
VA0104556705111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor