Provider Demographics
NPI:1477859908
Name:CROSSER FAMILY CHIROPRACTIC, PC
Entity Type:Organization
Organization Name:CROSSER FAMILY CHIROPRACTIC, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MARK
Authorized Official - Middle Name:L
Authorized Official - Last Name:CROSSER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:603-674-2962
Mailing Address - Street 1:60 ROCHESTER HILL RD
Mailing Address - Street 2:UNIT 5
Mailing Address - City:ROCHESTER
Mailing Address - State:NH
Mailing Address - Zip Code:03867-3235
Mailing Address - Country:US
Mailing Address - Phone:603-332-3232
Mailing Address - Fax:603-335-4748
Practice Address - Street 1:60 ROCHESTER HILL RD
Practice Address - Street 2:UNIT 5
Practice Address - City:ROCHESTER
Practice Address - State:NH
Practice Address - Zip Code:03867-3235
Practice Address - Country:US
Practice Address - Phone:603-332-3232
Practice Address - Fax:603-335-4748
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-02-01
Last Update Date:2012-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH187-1085B111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NHNH9554Medicare PIN