Provider Demographics
NPI:1154674976
Name:DEGANGE, CHRISTANA JEAN (DC)
Entity Type:Individual
Prefix:DR
First Name:CHRISTANA
Middle Name:JEAN
Last Name:DEGANGE
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14 SOUTH ST
Mailing Address - Street 2:
Mailing Address - City:CONCORD
Mailing Address - State:NH
Mailing Address - Zip Code:03301-3772
Mailing Address - Country:US
Mailing Address - Phone:603-224-5551
Mailing Address - Fax:603-224-5552
Practice Address - Street 1:1 OVERLOOK DR
Practice Address - Street 2:SUITE 7
Practice Address - City:AMHERST
Practice Address - State:NH
Practice Address - Zip Code:03031-2800
Practice Address - Country:US
Practice Address - Phone:603-673-5600
Practice Address - Fax:603-673-6688
Is Sole Proprietor?:Yes
Enumeration Date:2012-10-17
Last Update Date:2021-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH904111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor