Provider Demographics
NPI:1942480652
Name:IN MOTION CHIROPRACTIC PLLC
Entity Type:Organization
Organization Name:IN MOTION CHIROPRACTIC PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR, BUSINESS OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CASSANDRE
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:CARDILLO
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:603-516-0990
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
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-09
Last Update Date:2016-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH789-0707111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty