Provider Demographics
NPI:1447329321
Name:DARCY CRISP CHIROPRACTIC, INC
Entity type:Organization
Organization Name:DARCY CRISP CHIROPRACTIC, INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DARCY
Authorized Official - Middle Name:A
Authorized Official - Last Name:CRISP
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:603-662-9730
Mailing Address - Street 1:1100 HOOKSETT RD STE 102
Mailing Address - Street 2:
Mailing Address - City:HOOKSETT
Mailing Address - State:NH
Mailing Address - Zip Code:03106-1073
Mailing Address - Country:US
Mailing Address - Phone:603-622-9730
Mailing Address - Fax:603-668-8098
Practice Address - Street 1:1100 HOOKSETT RD STE 102
Practice Address - Street 2:
Practice Address - City:HOOKSETT
Practice Address - State:NH
Practice Address - Zip Code:03106-1073
Practice Address - Country:US
Practice Address - Phone:603-622-9730
Practice Address - Fax:603-668-8098
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-07
Last Update Date:2007-12-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NHRE8591Medicare PIN