Healthcare Provider Details

I. General information

NPI: 1326141664
Provider Name (Legal Business Name): DUKE FAMILY CHIROPRACTIC PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/05/2006
Last Update Date: 11/05/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3 RIVERSIDE LANE
GREENLAND NH
03840
US

IV. Provider business mailing address

3 RIVERSIDE LANE
GREENLAND NH
03840
US

V. Phone/Fax

Practice location:
  • Phone: 603-422-0432
  • Fax: 603-422-0435
Mailing address:
  • Phone: 603-422-0432
  • Fax: 603-422-0435

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number525-0398
License Number StateNH

VIII. Authorized Official

Name: DR. JOHN DUKE LOVETERE
Title or Position: OWNER/PRESIDENT
Credential: DC
Phone: 603-422-0432