MEDICARE: DR. DONNA M KNEELAND D.C.

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	1712	MA
2	111N00000X	Chiropractor	0910492	NH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1740381318
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DONNA M KNEELAND D.C.

Provider Business Mailing Address
First Line	:	58 RANGE RD STE R-03
Second Line	:
City	:	WINDHAM
State	:	NH
Zip	:	03087-2026
Country	:	US
Telephone Number	:	603-898-0030
Fax Number	:	603-894-6343

Provider Business Practice Location Address
First Line	:	58 RANGE RD STE R-03
Second Line	:
City	:	WINDHAM
State	:	NH
Zip	:	03087-2026
Country	:	US
Telephone Number	:	603-898-0030
Fax Number	:	603-894-6343

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

Provider Enumeration Date	:	09/26/2006
Last Update Date	:	03/07/2023

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