Organization
SPENCER CHIROPRACTIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVEN LOWELL SPENCER D.C. (OWNER)
(603) 657-8460
Entity
Organization
Contact information
Practice address
1802 ELM ST, SUITE 3, MANCHESTER, NH 03104-2948
(603) 657-8460
Mailing address
1802 ELM ST, SUITE 3, MANCHESTER, NH 03104-2948
(603) 657-8460
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
830-0109
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RE333101
MEDICARE
NH
Enumeration date
07/24/2014
Last updated
07/24/2014
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