Provider Demographics
NPI:1144264359
Name:CROSSER, MARK L (DC)
Entity type:Individual
Prefix:DR
First Name:MARK
Middle Name:L
Last Name:CROSSER
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
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Mailing Address - Street 1:60 ROCHESTER HILL RD
Mailing Address - Street 2:UNIT 5
Mailing Address - City:ROCHESTER
Mailing Address - State:NH
Mailing Address - Zip Code:03867-1920
Mailing Address - Country:US
Mailing Address - Phone:603-332-3232
Mailing Address - Fax:603-332-3232
Practice Address - Street 1:60 ROCHESTER HILL RD
Practice Address - Street 2:UNIT 5
Practice Address - City:ROCHESTER
Practice Address - State:NH
Practice Address - Zip Code:03867-1920
Practice Address - Country:US
Practice Address - Phone:603-332-3232
Practice Address - Fax:603-332-3232
Is Sole Proprietor?:No
Enumeration Date:2006-06-16
Last Update Date:2014-01-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NHNH 187-1085B111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NHNH9554Medicare ID - Type UnspecifiedMEDICARE ID
NH0505847YONH01Medicare UPIN