Provider Demographics
NPI:1003076217
Name:BAROODY, STEVEN B (DC)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:B
Last Name:BAROODY
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1650 ELM ST
Mailing Address - Street 2:STE 301
Mailing Address - City:MANCHESTER
Mailing Address - State:NH
Mailing Address - Zip Code:03101-1217
Mailing Address - Country:US
Mailing Address - Phone:603-203-3185
Mailing Address - Fax:603-626-6950
Practice Address - Street 1:1650 ELM ST
Practice Address - Street 2:STE 301
Practice Address - City:MANCHESTER
Practice Address - State:NH
Practice Address - Zip Code:03101-1217
Practice Address - Country:US
Practice Address - Phone:603-203-3185
Practice Address - Fax:603-626-6950
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-11
Last Update Date:2019-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH736-0105111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor