Provider Demographics
NPI:1942328638
Name:STOGNIEW, JILIAN MARY (DC)
Entity Type:Individual
Prefix:
First Name:JILIAN
Middle Name:MARY
Last Name:STOGNIEW
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:JILIAN
Other - Middle Name:MARY
Other - Last Name:SANTINI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:7 GRANGE RD
Mailing Address - Street 2:UNIT A
Mailing Address - City:TILTON
Mailing Address - State:NH
Mailing Address - Zip Code:03276-5809
Mailing Address - Country:US
Mailing Address - Phone:603-703-1534
Mailing Address - Fax:
Practice Address - Street 1:7 GRANGE RD
Practice Address - Street 2:UNIT A
Practice Address - City:TILTON
Practice Address - State:NH
Practice Address - Zip Code:03276-5809
Practice Address - Country:US
Practice Address - Phone:603-703-1534
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-27
Last Update Date:2011-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH779-1206111N00000X
VT006-0001177111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor