Provider Demographics
NPI:1598715138
Name:BARE, TIFFANY LYNN (DC)
Entity Type:Individual
Prefix:DR
First Name:TIFFANY
Middle Name:LYNN
Last Name:BARE
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 1:20A NORTHWEST BLVD
Mailing Address - Street 2:267
Mailing Address - City:NASHUA
Mailing Address - State:NH
Mailing Address - Zip Code:03063-4066
Mailing Address - Country:US
Mailing Address - Phone:603-673-7400
Mailing Address - Fax:603-673-7044
Practice Address - Street 1:76 ROUTE 101A
Practice Address - Street 2:7
Practice Address - City:AMHERST
Practice Address - State:NH
Practice Address - Zip Code:03031-2258
Practice Address - Country:US
Practice Address - Phone:603-673-7400
Practice Address - Fax:603-673-7044
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-12
Last Update Date:2012-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH621-0101111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor