Individual
DR. WAYNE GARY CLOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
100 ISLINGTON ST, SUITE # 7, PORTSMOUTH, NH 03801-4263
(603) 436-9229
(603) 430-8458
Mailing address
100 ISLINGTON ST, SUITE # 7, PORTSMOUTH, NH 03801-4263
(603) 436-9229
(603) 430-8458
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
07206520481A
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0508694Y0NH01
ANTHEM
NH
01
—
8503892
CIGNA
NH
01
—
NA1558
HARVARD PILGRIM
NH
Enumeration date
10/04/2005
Last updated
06/10/2008
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