Provider Demographics
NPI:1881651982
Name:RUOCCO, HOLLY ANNE (DC)
Entity Type:Individual
Prefix:
First Name:HOLLY
Middle Name:ANNE
Last Name:RUOCCO
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 1:202 MAIN STREET
Mailing Address - Street 2:G2
Mailing Address - City:SALEM
Mailing Address - State:NH
Mailing Address - Zip Code:03079
Mailing Address - Country:US
Mailing Address - Phone:603-894-5654
Mailing Address - Fax:603-894-5681
Practice Address - Street 1:202 MAIN STREET
Practice Address - Street 2:G2
Practice Address - City:SALEM
Practice Address - State:NH
Practice Address - Zip Code:03079
Practice Address - Country:US
Practice Address - Phone:603-894-5654
Practice Address - Fax:603-894-5681
Is Sole Proprietor?:No
Enumeration Date:2006-05-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH2150495111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH2283408OtherFIRST HEALTH
NH05Y004011NH01OtherBC BS