Organization
JOHN W. MELVIN DC LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN W MELVIN DC (OWNER PRES)
(618) 542-3636
Entity
Organization
Contact information
Practice address
420 S WASHINGTON ST, DU QUOIN, IL 62832-1809
(618) 542-3636
(618) 542-5469
Mailing address
420 S WASHINGTON ST, DU QUOIN, IL 62832-1809
(618) 542-3636
(618) 542-5469
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
07382009
BCBS
—
Enumeration date
09/07/2006
Last updated
11/17/2007
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