Provider Demographics
NPI:1477099315
Name:TOP RIGHT CHIROPRACTIC, PLLC
Entity Type:Organization
Organization Name:TOP RIGHT CHIROPRACTIC, PLLC
Other - Org Name:JAN MARTENSEN DC PHD
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JAN
Authorized Official - Middle Name:
Authorized Official - Last Name:MARTENSEN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:419-283-0234
Mailing Address - Street 1:75 S MAIN ST
Mailing Address - Street 2:UNIT 7 264
Mailing Address - City:CONCORD
Mailing Address - State:NH
Mailing Address - Zip Code:03301-4868
Mailing Address - Country:US
Mailing Address - Phone:419-283-0234
Mailing Address - Fax:678-279-4499
Practice Address - Street 1:29 MILL ST
Practice Address - Street 2:UNIT C4
Practice Address - City:WOLFEBORO
Practice Address - State:NH
Practice Address - Zip Code:03894-4328
Practice Address - Country:US
Practice Address - Phone:419-283-0234
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-01-17
Last Update Date:2017-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH960261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center