Provider Demographics
NPI:1881853869
Name:MIDDLETON CHIROPRACTIC LLC
Entity Type:Organization
Organization Name:MIDDLETON CHIROPRACTIC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINIC DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:AMY
Authorized Official - Middle Name:D
Authorized Official - Last Name:MIDDLETON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:603-749-2045
Mailing Address - Street 1:40 POINTE PL STE 125
Mailing Address - Street 2:
Mailing Address - City:DOVER
Mailing Address - State:NH
Mailing Address - Zip Code:03820-4771
Mailing Address - Country:US
Mailing Address - Phone:603-749-2045
Mailing Address - Fax:603-749-2088
Practice Address - Street 1:40 POINTE PL STE 125
Practice Address - Street 2:
Practice Address - City:DOVER
Practice Address - State:NH
Practice Address - Zip Code:03820-4771
Practice Address - Country:US
Practice Address - Phone:603-749-2045
Practice Address - Fax:603-749-2088
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-05
Last Update Date:2023-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH7010803111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH30256124Medicaid
NH30256124Medicaid