Provider Demographics
NPI:1811281165
Name:DEMARK-BUIK, DAWN LEE (DC)
Entity type:Individual
Prefix:DR
First Name:DAWN
Middle Name:LEE
Last Name:DEMARK-BUIK
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:57 LAWRENCE RD
Mailing Address - Street 2:
Mailing Address - City:DERRY
Mailing Address - State:NH
Mailing Address - Zip Code:03038-4190
Mailing Address - Country:US
Mailing Address - Phone:603-553-9538
Mailing Address - Fax:
Practice Address - Street 1:16 ROUTE 111 STE 9
Practice Address - Street 2:
Practice Address - City:DERRY
Practice Address - State:NH
Practice Address - Zip Code:03038-4142
Practice Address - Country:US
Practice Address - Phone:603-824-6121
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-06-04
Last Update Date:2019-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH905111N00000X, 111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8DL617OtherBCBS
NHT100159165Medicare PIN