Provider Demographics
NPI:1326124009
Name:STEPHEN A DRUKE & LORI S RAMOS
Entity Type:Organization
Organization Name:STEPHEN A DRUKE & LORI S RAMOS
Other - Org Name:COOS COUNTY CHIROPRACTIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:LORI
Authorized Official - Middle Name:SANDRA
Authorized Official - Last Name:RAMOS
Authorized Official - Suffix:
Authorized Official - Credentials:DC, DACBR
Authorized Official - Phone:603-752-2310
Mailing Address - Street 1:PO BOX 212
Mailing Address - Street 2:
Mailing Address - City:BERLIN
Mailing Address - State:NH
Mailing Address - Zip Code:03570-0212
Mailing Address - Country:US
Mailing Address - Phone:603-752-2310
Mailing Address - Fax:603-752-2310
Practice Address - Street 1:15 EXCHANGE ST
Practice Address - Street 2:
Practice Address - City:BERLIN
Practice Address - State:NH
Practice Address - Zip Code:03570-1948
Practice Address - Country:US
Practice Address - Phone:603-752-2310
Practice Address - Fax:603-752-2310
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-27
Last Update Date:2019-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH2410496111N00000X
NH2520496111N00000X
VT0060000941111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VT49083OtherBCBS OF VT, COOS COUNTY
VT49084OtherBCBS OF VT, STEPHEN DRUKE
NH0501199Y0NH01OtherANTHEM, STEPHEN DRUKE
NH0506749Y0NH01OtherANTHEM, LORI RAMOS
NH30251486Medicaid
NH350047737OtherRAILROAD MEDICARE, RAMOS
NHCOOS358582OtherANTHEM, COOS COUNTY CHIRO
NH350047736OtherRAILROAD MEDICARE, DRUKE
VT49085OtherBCBS OF VT, LORI RAMOS
NH30251487Medicaid
NH0501199Y0NH01OtherANTHEM, STEPHEN DRUKE
NHU61450Medicare UPIN
NH30251486Medicaid
NHCOOS358582OtherANTHEM, COOS COUNTY CHIRO