Provider Demographics
NPI:1952615742
Name:BECKLEY FAMILY CHIROPRACTIC, PLLC
Entity Type:Organization
Organization Name:BECKLEY FAMILY CHIROPRACTIC, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR/MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:MATTHEW
Authorized Official - Middle Name:
Authorized Official - Last Name:BECKLEY
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:603-537-9988
Mailing Address - Street 1:43B BIRCH ST
Mailing Address - Street 2:SUITE 3G
Mailing Address - City:DERRY
Mailing Address - State:NH
Mailing Address - Zip Code:03038-2718
Mailing Address - Country:US
Mailing Address - Phone:603-537-9988
Mailing Address - Fax:603-537-9978
Practice Address - Street 1:43B BIRCH ST
Practice Address - Street 2:SUITE 3G
Practice Address - City:DERRY
Practice Address - State:NH
Practice Address - Zip Code:03038-2718
Practice Address - Country:US
Practice Address - Phone:603-537-9988
Practice Address - Fax:603-537-9978
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-08-04
Last Update Date:2010-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH721-0504111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty