Provider Demographics
NPI:1881082931
Name:DESIRED CARE CHIROPRACTIC, PLLC
Entity type:Organization
Organization Name:DESIRED CARE CHIROPRACTIC, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DESIREE
Authorized Official - Middle Name:SHELBY
Authorized Official - Last Name:VANASSELBERG
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:603-315-5122
Mailing Address - Street 1:360 ROUTE 101
Mailing Address - Street 2:UNIT 13B
Mailing Address - City:BEDFORD
Mailing Address - State:NH
Mailing Address - Zip Code:03110-5030
Mailing Address - Country:US
Mailing Address - Phone:603-488-5596
Mailing Address - Fax:
Practice Address - Street 1:292 ROUTE 101 UNIT 13B
Practice Address - Street 2:
Practice Address - City:BEDFORD
Practice Address - State:NH
Practice Address - Zip Code:03110-5159
Practice Address - Country:US
Practice Address - Phone:603-315-5122
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-12-23
Last Update Date:2024-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH959111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty