Individual
MICHAEL R CHICOINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
80 HIGHLAND ST, LACONIA, NH 03246-3235
(603) 527-2819
(603) 527-2984
Mailing address
PO BOX 1327, LACONIA, NH 03247-1327
(603) 934-2060
(603) 527-7038
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1361
NH
363A00000X
Physician Assistant
PA5940
MA
Other
Enumeration date
12/05/2016
Last updated
07/26/2018
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