Healthcare Provider Details

I. General information

NPI: 1225023864
Provider Name (Legal Business Name): ERIK N BAKKE DC
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 09/20/2005
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

339 HIGH ST
SOMERSWORTH NH
03878-1415
US

IV. Provider business mailing address

173 TOLEND RD
DOVER NH
03820-5510
US

V. Phone/Fax

Practice location:
  • Phone: 603-692-2376
  • Fax: 603-692-6553
Mailing address:
  • Phone: 603-343-1474
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number2381086B
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: