Provider Demographics
NPI:1639195621
Name:BECKLEY, DEBORAH ANN (DC)
Entity Type:Individual
Prefix:MRS
First Name:DEBORAH
Middle Name:ANN
Last Name:BECKLEY
Suffix:
Gender:F
Credentials:DC
Other - Prefix:MISS
Other - First Name:DEBORAH
Other - Middle Name:ANN
Other - Last Name:MACDONALD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:43B BIRCH ST
Mailing Address - Street 2:SUITE 3G
Mailing Address - City:DERRY
Mailing Address - State:NH
Mailing Address - Zip Code:03038-2718
Mailing Address - Country:US
Mailing Address - Phone:603-537-9988
Mailing Address - Fax:603-537-9978
Practice Address - Street 1:43B BIRCH ST
Practice Address - Street 2:SUITE 3G
Practice Address - City:DERRY
Practice Address - State:NH
Practice Address - Zip Code:03038-2718
Practice Address - Country:US
Practice Address - Phone:603-537-9988
Practice Address - Fax:603-537-9978
Is Sole Proprietor?:No
Enumeration Date:2006-07-14
Last Update Date:2011-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH6810303111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH0018168OtherMEDICARE PTAN
NH05Y005525NH01OtherBLUE CROSS