Provider Demographics
NPI:1871391094
Name:CARROLL, DEVON VICTORIA (DC)
Entity type:Individual
Prefix:DR
First Name:DEVON
Middle Name:VICTORIA
Last Name:CARROLL
Suffix:
Gender:
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:40 POINTE PL STE 125
Mailing Address - Street 2:
Mailing Address - City:DOVER
Mailing Address - State:NH
Mailing Address - Zip Code:03820-4771
Mailing Address - Country:US
Mailing Address - Phone:603-749-2045
Mailing Address - Fax:
Practice Address - Street 1:40 POINTE PL STE 125
Practice Address - Street 2:
Practice Address - City:DOVER
Practice Address - State:NH
Practice Address - Zip Code:03820-4771
Practice Address - Country:US
Practice Address - Phone:603-749-2045
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-04
Last Update Date:2025-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH1223111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor