1881082931 NPI number — DESIRED CARE CHIROPRACTIC, PLLC

Table of content: DR. LAWRENCE WAYNE KAPLAN D.M.D. (NPI 1336128172)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1881082931 NPI number — DESIRED CARE CHIROPRACTIC, PLLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
DESIRED CARE CHIROPRACTIC, PLLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1881082931
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
04/03/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
360 ROUTE 101
Provider Second Line Business Mailing Address:
UNIT 13B
Provider Business Mailing Address City Name:
BEDFORD
Provider Business Mailing Address State Name:
NH
Provider Business Mailing Address Postal Code:
03110-5030
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
603-488-5596
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
292 ROUTE 101 UNIT 13B
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
BEDFORD
Provider Business Practice Location Address State Name:
NH
Provider Business Practice Location Address Postal Code:
03110-5159
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
603-315-5122
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
12/23/2014

Additional Information

Authorized Official

Authorized Official Last Name:
VANASSELBERG
Authorized Official First Name:
DESIREE
Authorized Official Middle Name:
SHELBY
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
603-315-5122

Provider Taxonomy Codes

  • Taxonomy code: 111N00000X , with the licence number:  959 , registered in the state of NH ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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