Provider Demographics
NPI:1922012004
Name:CARDILLO, CASSANDRE (DC)
Entity Type:Individual
Prefix:DR
First Name:CASSANDRE
Middle Name:
Last Name:CARDILLO
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 1:43 MAIN ST
Mailing Address - Street 2:#1
Mailing Address - City:DOVER
Mailing Address - State:NH
Mailing Address - Zip Code:03820-3800
Mailing Address - Country:US
Mailing Address - Phone:603-516-0990
Mailing Address - Fax:603-516-0991
Practice Address - Street 1:43 MAIN ST
Practice Address - Street 2:#1
Practice Address - City:DOVER
Practice Address - State:NH
Practice Address - Zip Code:03820-3800
Practice Address - Country:US
Practice Address - Phone:603-516-0990
Practice Address - Fax:603-516-0991
Is Sole Proprietor?:No
Enumeration Date:2006-07-27
Last Update Date:2007-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH789-0707111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor