MEDICARE: WHITNEY LEIGH SWIESZ DC

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	590-0200	NH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	6765685	OTHER	NH	CIGNA
2	05YOO3966NH	OTHER	NH	BLUE CROSS BLUE SHIELD
3	AA60793	OTHER	NH	HARVARD PILGRAM

General Provider Information

NPI Number	:	1417000175
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	WHITNEY LEIGH SWIESZ DC

Provider Business Mailing Address
First Line	:	320 SANDOWN RD UNIT 1
Second Line	:
City	:	EAST HAMPSTEAD
State	:	NH
Zip	:	03826-5411
Country	:	US
Telephone Number	:	603-329-5491
Fax Number	:

Provider Business Practice Location Address
First Line	:	320 SANDOWN RD UNIT 1
Second Line	:
City	:	EAST HAMPSTEAD
State	:	NH
Zip	:	03826-5411
Country	:	US
Telephone Number	:	603-329-5491
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/18/2007
Last Update Date	:	07/08/2007

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Directions to “ WHITNEY LEIGH SWIESZ DC” Practice Location

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