Provider Demographics
NPI:1689693780
Name:PROPER, AGATHA A (DC)
Entity Type:Individual
Prefix:DR
First Name:AGATHA
Middle Name:A
Last Name:PROPER
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:PO BOX 404
Mailing Address - Street 2:
Mailing Address - City:NEWPORT
Mailing Address - State:NH
Mailing Address - Zip Code:03773-0404
Mailing Address - Country:US
Mailing Address - Phone:603-477-3978
Mailing Address - Fax:
Practice Address - Street 1:6 CENTRAL ST
Practice Address - Street 2:
Practice Address - City:NEWPORT
Practice Address - State:NH
Practice Address - Zip Code:03773-1606
Practice Address - Country:US
Practice Address - Phone:603-477-3978
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-19
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH5290498111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NHU70641Medicare UPIN
NHRE4869Medicare ID - Type Unspecified