Individual
DR. MICHAEL P BLACKMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
812 CENTRAL AVE, DOVER, NH 03820-2520
(603) 742-5881
(603) 742-6613
Mailing address
812 CENTRAL AVE, DOVER, NH 03820-2520
(603) 742-5881
(603) 742-6613
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2280686A
NH
111N00000X
Chiropractor
CH1100
MA
111N00000X
Chiropractor
CR696
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0501333Y0NH01
ANTHEM
NH
01
—
517092
AETNA
NH
05
—
80001333
—
NH
01
—
9914387
CIGNA
NH
01
—
T86642
HARVARD PILGRIM
NH
Enumeration date
03/08/2006
Last updated
07/08/2007
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