Provider Demographics
NPI:1538820162
Name:BENDER, MELISSA ANN (DC)
Entity type:Individual
Prefix:
First Name:MELISSA
Middle Name:ANN
Last Name:BENDER
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 1:910 INDUSTRIAL BLVD
Mailing Address - Street 2:
Mailing Address - City:LOYALHANNA
Mailing Address - State:PA
Mailing Address - Zip Code:15661-1002
Mailing Address - Country:US
Mailing Address - Phone:724-879-4385
Mailing Address - Fax:
Practice Address - Street 1:910 INDUSTRIAL BLVD
Practice Address - Street 2:
Practice Address - City:LOYALHANNA
Practice Address - State:PA
Practice Address - Zip Code:15661-1002
Practice Address - Country:US
Practice Address - Phone:724-879-4385
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-01-05
Last Update Date:2023-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC011705111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor