MEDICARE: SWIESZ FAMILY CHIROPRACTIC LLC

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
2	111N00000X	Chiropractor	589-0200	NH

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	P00176465	OTHER	NH	MATT RR MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	05OO3957 NH	OTHER	NH	MATT BCBS
3	AA60774	OTHER	NH	MATT HARVARD
4	05YOO3966 NH	OTHER	NH	WHITNEY BCBS
5	AA60793	OTHER	NH	WHITNEY HP
6	3502354	OTHER	NH	CIGNA MATT
7	6765688	OTHER	NH	WHITNEY CIGNA

General Provider Information

NPI Number	:	1710006804
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SWIESZ FAMILY CHIROPRACTIC LLC

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	:	603-329-5907

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	:	603-329-5907

Authorized Official
Title or Position	:	PARTNER
Name	:	MATTHEW SWIESZ
Credential	:	DC
Telephone Number	:	603-329-5491

Provider Enumeration Date	:	03/28/2007
Last Update Date	:	08/22/2020

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Directions to “SWIESZ FAMILY CHIROPRACTIC LLC ” Practice Location

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