Individual
DR. GLEN D PHILO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
76 NORTHEASTERN BLVD, SUITE 32A, NASHUA, NH 03062
(603) 889-0550
(603) 889-0355
Mailing address
76 NORTHEASTERN BLVD, SUITE 32A, NASHUA, NH 03062
(603) 889-0550
(603) 889-0355
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2740687B
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000687
TUFTS
—
01
—
0501145Y0NH01
BCBS
—
05
—
30250158
—
NH
01
—
4404302
UNITED
—
01
—
52190
CIGNA
—
01
—
931603
AETNA
—
01
—
NA1719
HARVARD
—
Enumeration date
11/27/2006
Last updated
11/25/2014
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