Provider Demographics
NPI:1841353950
Name:ROST, NICHOLAS E (DC)
Entity type:Individual
Prefix:
First Name:NICHOLAS
Middle Name:E
Last Name:ROST
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 1:10 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:
Is Sole Proprietor?:No
Enumeration Date:2006-12-19
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH6421001111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor