Provider Demographics
NPI:1376978585
Name:TRISKELIA WELLNESS PLLC
Entity Type:Organization
Organization Name:TRISKELIA WELLNESS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DAWN
Authorized Official - Middle Name:
Authorized Official - Last Name:DEMARK-BUIK
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:603-553-9538
Mailing Address - Street 1:16 ROUTE 111 STE 9
Mailing Address - Street 2:
Mailing Address - City:DERRY
Mailing Address - State:NH
Mailing Address - Zip Code:03038-4142
Mailing Address - Country:US
Mailing Address - Phone:603-824-6121
Mailing Address - Fax:603-824-6134
Practice Address - Street 1:16 ROUTE 111 STE 9
Practice Address - Street 2:
Practice Address - City:DERRY
Practice Address - State:NH
Practice Address - Zip Code:03038-4142
Practice Address - Country:US
Practice Address - Phone:603-824-6121
Practice Address - Fax:603-824-6134
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-09-06
Last Update Date:2019-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH905111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty