Provider Demographics
NPI:1659641611
Name:POWELL, DEAN HOWARD (DC)
Entity type:Individual
Prefix:DR
First Name:DEAN
Middle Name:HOWARD
Last Name:POWELL
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:116 SLALOM LN
Mailing Address - Street 2:POWELL CHIROPRACTIC
Mailing Address - City:FRANCONIA
Mailing Address - State:NH
Mailing Address - Zip Code:03580-4717
Mailing Address - Country:US
Mailing Address - Phone:603-823-0057
Mailing Address - Fax:603-823-0057
Practice Address - Street 1:116 SLALOM LN
Practice Address - Street 2:POWELL CHIROPRACTIC
Practice Address - City:FRANCONIA
Practice Address - State:NH
Practice Address - Zip Code:03580-4717
Practice Address - Country:US
Practice Address - Phone:603-823-0057
Practice Address - Fax:603-823-0057
Is Sole Proprietor?:Yes
Enumeration Date:2012-01-09
Last Update Date:2014-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY012116111N00000X
NH892111N00000X
CO6780111N00000X
MO2011040540111N00000X
PADC010531111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor