MEDICARE: MANCHESTER CHIROPRACTIC & SPORTS INJURIES, PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	14411540584A	NH
2	111NX0800X	Orthopedic Chiropractor	14411540584A	NH

General Provider Information

NPI Number	:	1518101377
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MANCHESTER CHIROPRACTIC & SPORTS INJURIES, PLLC

Provider Business Mailing Address
First Line	:	70 QUEEN CITY AVE
Second Line	:
City	:	MANCHESTER
State	:	NH
Zip	:	03103-7120
Country	:	US
Telephone Number	:	603-624-9480
Fax Number	:	603-647-2023

Provider Business Practice Location Address
First Line	:	70 QUEEN CITY AVE
Second Line	:
City	:	MANCHESTER
State	:	NH
Zip	:	03103-7120
Country	:	US
Telephone Number	:	603-624-9480
Fax Number	:	603-647-2023

Authorized Official
Title or Position	:	DOCTOR/MEMBER
Name	:	DR. JOSEPH ANDREW REINFURT
Credential	:	DABCO
Telephone Number	:	603-624-9480

Provider Enumeration Date	:	04/23/2009
Last Update Date	:	04/23/2009

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