Provider Demographics
NPI:1700966389
Name:HAMPSTEAD CHIROPRACTIC OFFICE, P.L.L.C.
Entity Type:Organization
Organization Name:HAMPSTEAD CHIROPRACTIC OFFICE, P.L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:LLOYD
Authorized Official - Last Name:SHIELDS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:603-329-9333
Mailing Address - Street 1:472 STATE ROUTE 111
Mailing Address - Street 2:
Mailing Address - City:HAMPSTEAD
Mailing Address - State:NH
Mailing Address - Zip Code:03841-2371
Mailing Address - Country:US
Mailing Address - Phone:603-329-9333
Mailing Address - Fax:603-329-5090
Practice Address - Street 1:472 STATE ROUTE 111
Practice Address - Street 2:
Practice Address - City:HAMPSTEAD
Practice Address - State:NH
Practice Address - Zip Code:03841-2371
Practice Address - Country:US
Practice Address - Phone:603-329-9333
Practice Address - Fax:603-329-5090
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-17
Last Update Date:2007-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH035-0790261QH0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH0504442Y0NH02OtherANTHEM BCBS
MA1162609OtherAETNA/US HEALTHCARE
MAY39911OtherBC BS OF MASS
MA035079OtherTUFTS
MA44-00187OtherUNITED HEALTHCARE
NH80003512Medicaid
MANA1549OtherHARVARD PILGRAM
MA44-00187OtherUNITED HEALTHCARE