Provider Demographics
NPI:1467849547
Name:DR. JULIET DICKINSON, PC
Entity Type:Organization
Organization Name:DR. JULIET DICKINSON, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JULIET
Authorized Official - Middle Name:
Authorized Official - Last Name:DICKINSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:603-447-1144
Mailing Address - Street 1:PO BOX 2258
Mailing Address - Street 2:45 WASHINGTON ST
Mailing Address - City:CONWAY
Mailing Address - State:NH
Mailing Address - Zip Code:03818-2258
Mailing Address - Country:US
Mailing Address - Phone:603-447-1144
Mailing Address - Fax:603-447-1133
Practice Address - Street 1:45 WASHINGTON ST
Practice Address - Street 2:SUITE 6
Practice Address - City:CONWAY
Practice Address - State:NH
Practice Address - Zip Code:03818-6031
Practice Address - Country:US
Practice Address - Phone:603-447-1144
Practice Address - Fax:603-447-1133
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-04-16
Last Update Date:2015-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH535A0898111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty