Provider Demographics
NPI:1376931576
Name:FALARDEAU FAMILY CHIROPRACTIC LLC
Entity Type:Organization
Organization Name:FALARDEAU FAMILY CHIROPRACTIC LLC
Other - Org Name:LIVE FREE CHIROPRACTIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MARY
Authorized Official - Middle Name:
Authorized Official - Last Name:FALARDEAU
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:603-864-0909
Mailing Address - Street 1:383 E DUNSTABLE RD
Mailing Address - Street 2:UNIT B
Mailing Address - City:NASHUA
Mailing Address - State:NH
Mailing Address - Zip Code:03062-4216
Mailing Address - Country:US
Mailing Address - Phone:603-864-0909
Mailing Address - Fax:603-864-0907
Practice Address - Street 1:383 E DUNSTABLE RD
Practice Address - Street 2:UNIT B
Practice Address - City:NASHUA
Practice Address - State:NH
Practice Address - Zip Code:03062-4216
Practice Address - Country:US
Practice Address - Phone:603-864-0909
Practice Address - Fax:603-864-0907
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-12-23
Last Update Date:2014-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH948111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty