Provider Demographics
NPI:1255609236
Name:SNYDER PLOCEK, MELISSA SUE (BS, DC)
Entity type:Individual
Prefix:DR
First Name:MELISSA
Middle Name:SUE
Last Name:SNYDER PLOCEK
Suffix:
Gender:F
Credentials:BS, DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1010 S CASCADE AVE STE A
Mailing Address - Street 2:
Mailing Address - City:MONTROSE
Mailing Address - State:CO
Mailing Address - Zip Code:81401-4980
Mailing Address - Country:US
Mailing Address - Phone:970-252-0378
Mailing Address - Fax:
Practice Address - Street 1:1010 S CASCADE AVE STE A
Practice Address - Street 2:
Practice Address - City:MONTROSE
Practice Address - State:CO
Practice Address - Zip Code:81401-4980
Practice Address - Country:US
Practice Address - Phone:970-252-0378
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-12-06
Last Update Date:2012-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO6773111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor