Provider Demographics
NPI:1669985537
Name:CHESTNUT STREET CHIROPRACTIC & WELLBEING PLLC
Entity type:Organization
Organization Name:CHESTNUT STREET CHIROPRACTIC & WELLBEING PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:NICHOLAS
Authorized Official - Middle Name:E
Authorized Official - Last Name:ROST
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:603-418-5050
Mailing Address - Street 1:10 CHESTNUT ST APT 1302
Mailing Address - Street 2:
Mailing Address - City:EXETER
Mailing Address - State:NH
Mailing Address - Zip Code:03833-1858
Mailing Address - Country:US
Mailing Address - Phone:603-418-5050
Mailing Address - Fax:
Practice Address - Street 1:6 CHESTNUT ST STE A
Practice Address - Street 2:
Practice Address - City:EXETER
Practice Address - State:NH
Practice Address - Zip Code:03833-1850
Practice Address - Country:US
Practice Address - Phone:603-418-5050
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-11-14
Last Update Date:2017-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty