Provider Demographics
NPI:1497172415
Name:STEPHEN G GUILD DC PLLC
Entity Type:Organization
Organization Name:STEPHEN G GUILD DC PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:G
Authorized Official - Last Name:GUILD
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:603-366-7337
Mailing Address - Street 1:84 HAYES RD
Mailing Address - Street 2:
Mailing Address - City:LACONIA
Mailing Address - State:NH
Mailing Address - Zip Code:03246-1809
Mailing Address - Country:US
Mailing Address - Phone:603-366-7337
Mailing Address - Fax:603-366-5938
Practice Address - Street 1:84 HAYES RD
Practice Address - Street 2:
Practice Address - City:LACONIA
Practice Address - State:NH
Practice Address - Zip Code:03246-1809
Practice Address - Country:US
Practice Address - Phone:603-366-7337
Practice Address - Fax:603-366-5938
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-03-27
Last Update Date:2016-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH00203550380A111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NHT400154288OtherMEDICARE PTAN