1083164602 NPI number — EXETER CHIROPRACTIC AND REHABILITATION PLLC

Table of content: DR. CRISTINA MARIE GUERRERO PT, DPT (NPI 1326721218)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1083164602 NPI number — EXETER CHIROPRACTIC AND REHABILITATION PLLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
EXETER CHIROPRACTIC AND REHABILITATION 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:
1083164602
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
01/05/2017
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
9 HAMPTON RD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
EXETER
Provider Business Mailing Address State Name:
NH
Provider Business Mailing Address Postal Code:
03833-4807
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
603-778-2919
Provider Business Mailing Address Fax Number:
603-778-9051

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
9 HAMPTON RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
EXETER
Provider Business Practice Location Address State Name:
NH
Provider Business Practice Location Address Postal Code:
03833-4807
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
603-778-2919
Provider Business Practice Location Address Fax Number:
603-778-9051
Provider Enumeration Date:
10/06/2016

Additional Information

Authorized Official

Authorized Official Last Name:
EMBERLEY
Authorized Official First Name:
RICHARD
Authorized Official Middle Name:
OWEN
Authorized Official Title or Position:
MANAGER/OWNER
Authorized Official Telephone Number:
603-778-2919

Provider Taxonomy Codes

  • Taxonomy code: 111N00000X , with the licence number:  998 , 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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