Provider Demographics
NPI:1639184468
Name:SPLENDORE, DONNA (DC)
Entity Type:Individual
Prefix:DR
First Name:DONNA
Middle Name:
Last Name:SPLENDORE
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 1:211 LOUDON RD
Mailing Address - Street 2:SUITE B-1
Mailing Address - City:CONCORD
Mailing Address - State:NH
Mailing Address - Zip Code:03301-6099
Mailing Address - Country:US
Mailing Address - Phone:603-223-0680
Mailing Address - Fax:603-224-5300
Practice Address - Street 1:211 LOUDON RD
Practice Address - Street 2:SUITE B-1
Practice Address - City:CONCORD
Practice Address - State:NH
Practice Address - Zip Code:03301-6099
Practice Address - Country:US
Practice Address - Phone:603-223-0680
Practice Address - Fax:603-224-5300
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH515-0198111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NHU88978Medicare UPIN
NHRE6584Medicare ID - Type Unspecified