Provider Demographics
NPI:1437243052
Name:CRISP, DARCY A (DC)
Entity Type:Individual
Prefix:DR
First Name:DARCY
Middle Name:A
Last Name:CRISP
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1100 HOOKSETT RD
Mailing Address - Street 2:SUITE 102
Mailing Address - City:HOOKSETT
Mailing Address - State:NH
Mailing Address - Zip Code:03106
Mailing Address - Country:US
Mailing Address - Phone:603-622-9730
Mailing Address - Fax:603-668-8098
Practice Address - Street 1:1100 HOOKSETT RD
Practice Address - Street 2:SUITE 102
Practice Address - City:HOOKSETT
Practice Address - State:NH
Practice Address - Zip Code:03106
Practice Address - Country:US
Practice Address - Phone:603-622-9730
Practice Address - Fax:603-668-8098
Is Sole Proprietor?:No
Enumeration Date:2006-10-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH700-0803111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH05Y005280NH02OtherANTHEM PROVIDER NUMBER
NHAA49869OtherHP PROVIDER NUMBER
NH1899365OtherCIGNA PROVIDER NUMBER
NH3987532OtherAETNA PROVIDER NUMBER
NHAA49869OtherHP PROVIDER NUMBER