Provider Demographics
NPI:1285699314
Name:STERNBERG, MELISSA SUE (DC)
Entity type:Individual
Prefix:DR
First Name:MELISSA
Middle Name:SUE
Last Name:STERNBERG
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 1:111 S OAK ST
Mailing Address - Street 2:
Mailing Address - City:CARSON
Mailing Address - State:IA
Mailing Address - Zip Code:51525
Mailing Address - Country:US
Mailing Address - Phone:712-484-3776
Mailing Address - Fax:712-778-3776
Practice Address - Street 1:111 S OAK ST
Practice Address - Street 2:
Practice Address - City:CARSON
Practice Address - State:IA
Practice Address - Zip Code:51525
Practice Address - Country:US
Practice Address - Phone:712-484-3776
Practice Address - Fax:712-484-3776
Is Sole Proprietor?:No
Enumeration Date:2006-04-20
Last Update Date:2011-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA06357111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
22869OtherBCBS
IA0225656Medicaid
623014OtherUNITED
IAI0467Medicare PIN