Healthcare Provider Details

I. General information

NPI: 1659756195
Provider Name (Legal Business Name): MELINDA ANN HOULE DC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/27/2015
Last Update Date: 03/21/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

291 MAIN STREET
ALTON NH
03809
US

IV. Provider business mailing address

12 PORTWALK PL
PORTSMOUTH NH
03801-4086
US

V. Phone/Fax

Practice location:
  • Phone: 603-431-4200
  • Fax: 603-431-4202
Mailing address:
  • Phone: 603-431-4200
  • Fax: 603-431-4202

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number1035
License Number StateNH
# 2
Primary TaxonomyN
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number012708
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: