Provider Demographics
NPI:1356444541
Name:GUILD, STEPHEN G (DC)
Entity Type:Individual
Prefix:DR
First Name:STEPHEN
Middle Name:G
Last Name:GUILD
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 1:84 HAYES RD
Mailing Address - Street 2:
Mailing Address - City:LACONIA
Mailing Address - State:NH
Mailing Address - Zip Code:03246-1809
Mailing Address - Country:US
Mailing Address - Phone:603-366-7337
Mailing Address - Fax:603-366-5938
Practice Address - Street 1:84 HAYES RD
Practice Address - Street 2:
Practice Address - City:LACONIA
Practice Address - State:NH
Practice Address - Zip Code:03246-1809
Practice Address - Country:US
Practice Address - Phone:603-366-7337
Practice Address - Fax:603-366-5938
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH002-0355-0380A111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH02-0356258OtherCIGNA
NH0508687Y0NH01Medicare UPIN
NHNH8687Medicare ID - Type Unspecified