Provider Demographics
NPI:1235388141
Name:CORNERSTONE CHIROPRACTIC AND MASSAGE
Entity Type:Organization
Organization Name:CORNERSTONE CHIROPRACTIC AND MASSAGE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:BROOKS
Authorized Official - Middle Name:
Authorized Official - Last Name:SEAMAN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:603-358-6116
Mailing Address - Street 1:82 WASHINGTON ST
Mailing Address - Street 2:SUITE 2
Mailing Address - City:KEENE
Mailing Address - State:NH
Mailing Address - Zip Code:03431-3108
Mailing Address - Country:US
Mailing Address - Phone:603-358-6116
Mailing Address - Fax:603-358-6066
Practice Address - Street 1:82 WASHINGTON ST
Practice Address - Street 2:SUITE 2
Practice Address - City:KEENE
Practice Address - State:NH
Practice Address - Zip Code:03431-3108
Practice Address - Country:US
Practice Address - Phone:603-358-6116
Practice Address - Fax:603-358-6066
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-16
Last Update Date:2008-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NHRE 7050Medicare PIN