Provider Demographics
NPI:1225023864
Name:BAKKE, ERIK N (DC)
Entity Type:Individual
Prefix:DR
First Name:ERIK
Middle Name:N
Last Name:BAKKE
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:173 TOLEND RD
Mailing Address - Street 2:
Mailing Address - City:DOVER
Mailing Address - State:NH
Mailing Address - Zip Code:03820-5510
Mailing Address - Country:US
Mailing Address - Phone:603-343-1474
Mailing Address - Fax:
Practice Address - Street 1:339 HIGH ST
Practice Address - Street 2:
Practice Address - City:SOMERSWORTH
Practice Address - State:NH
Practice Address - Zip Code:03878-1415
Practice Address - Country:US
Practice Address - Phone:603-692-2376
Practice Address - Fax:603-692-6553
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-09-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH2381086B111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH2752462OtherAETNA US HEALTHCARE
NHNA1736OtherHARVARD PILGRIM HEALTHCAR
NH0505860Y0NH01OtherANTHEM BCBS
NH7272OtherCIGNA HEALTHCARE
NH1076113OtherMAILHANDLERS
NH30252525Medicaid
NH1076113OtherMAILHANDLERS
T96098Medicare UPIN