# SPENCER CHIROPRACTIC LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1477961274
- **Authorized official:** DAVEN LOWELL SPENCER D.C. (OWNER)
- **Authorized official phone:** (603) 657-8460

## Contact information

- **Practice address:** 1802 ELM ST, SUITE 3, MANCHESTER, NH 03104-2948
- **Practice address phone:** (603) 657-8460
- **Mailing address:** 1802 ELM ST, SUITE 3, MANCHESTER, NH 03104-2948
- **Mailing address phone:** (603) 657-8460

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | 830-0109 | NH | Yes |

## Other

- **Enumeration date:** 07/24/2014
- **Last updated:** 07/24/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | RE333101 | MEDICARE | NH |