Healthcare Provider Details
I. General information
NPI: 1912658477
Provider Name (Legal Business Name): NEW HAMPSHIRE SPINAL CARE
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 01/15/2022
Last Update Date: 03/13/2022
Certification Date: 03/13/2022
Deactivation Date:
Reactivation Date:
III. Provider practice location address
9 BANCROFT ST APT 512
NASHUA NH
03060-3979
US
IV. Provider business mailing address
193 KINSLEY ST STE 5
NASHUA NH
03060-3663
US
V. Phone/Fax
- Phone: 603-809-0746
- Fax:
- Phone: 603-514-2280
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 111N00000X |
| Taxonomy | Chiropractor |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 111NN0400X |
| Taxonomy | Neurology Chiropractor |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
CAROLINE
VIRGINIA
MILLER
Title or Position: CHIROPRACTOR AND OWNER
Credential: DC
Phone: 603-514-2280