Provider Demographics
NPI:1417360777
Name:SEABROOK CHIROPRACTIC AND REHABILITATION CENTER LLC
Entity Type:Organization
Organization Name:SEABROOK CHIROPRACTIC AND REHABILITATION CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:TYLER
Authorized Official - Middle Name:DOUGLAS
Authorized Official - Last Name:LAMSON
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:603-988-8088
Mailing Address - Street 1:727 LAFAYETTE RD
Mailing Address - Street 2:
Mailing Address - City:SEABROOK
Mailing Address - State:NH
Mailing Address - Zip Code:03874-4255
Mailing Address - Country:US
Mailing Address - Phone:603-988-8088
Mailing Address - Fax:
Practice Address - Street 1:727 LAFAYETTE RD
Practice Address - Street 2:
Practice Address - City:SEABROOK
Practice Address - State:NH
Practice Address - Zip Code:03874-4255
Practice Address - Country:US
Practice Address - Phone:603-988-8088
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-06-04
Last Update Date:2014-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH941111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty