Individual
KAREN MARIE BANNON BOISVERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
600 STATE ST, SUITE 5, PORTSMOUTH, NH 03801-4370
(603) 430-7744
(603) 436-6729
Mailing address
124 STATE ST, PORTSMOUTH, NH 03801-3826
(603) 781-4774
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
163-0494
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0506836YONH01
ANTHEM BCBS
NH
01
—
1847758
FIRST HEALTH
NH
01
—
424750
CIGNA HEALTHCARE
NH
01
—
471703
HARVARD PILGRIM
NH
Enumeration date
09/28/2006
Last updated
12/03/2015
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