Provider Demographics
NPI:1831766294
Name:PAULSON CHIROPRACTIC
Entity type:Organization
Organization Name:PAULSON CHIROPRACTIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING SECRETARY
Authorized Official - Prefix:
Authorized Official - First Name:ANJA
Authorized Official - Middle Name:
Authorized Official - Last Name:OUELLETTE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:603-643-2200
Mailing Address - Street 1:68 LYME RD
Mailing Address - Street 2:
Mailing Address - City:HANOVER
Mailing Address - State:NH
Mailing Address - Zip Code:03755-1212
Mailing Address - Country:US
Mailing Address - Phone:603-643-2200
Mailing Address - Fax:
Practice Address - Street 1:68 LYME RD
Practice Address - Street 2:
Practice Address - City:HANOVER
Practice Address - State:NH
Practice Address - Zip Code:03755-1212
Practice Address - Country:US
Practice Address - Phone:603-643-2200
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-04
Last Update Date:2021-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty