Provider Demographics
NPI:1982606232
Name:STRASSER, JOHN J III (DC)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:J
Last Name:STRASSER
Suffix:III
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:PO BOX 812
Mailing Address - Street 2:
Mailing Address - City:FRANCONIA
Mailing Address - State:NH
Mailing Address - Zip Code:03580-0812
Mailing Address - Country:US
Mailing Address - Phone:603-823-7428
Mailing Address - Fax:603-823-5028
Practice Address - Street 1:262 MAIN ST.
Practice Address - Street 2:
Practice Address - City:FRANCONIA
Practice Address - State:NH
Practice Address - Zip Code:03580
Practice Address - Country:US
Practice Address - Phone:603-823-7428
Practice Address - Fax:603-823-5028
Is Sole Proprietor?:Yes
Enumeration Date:2005-06-01
Last Update Date:2010-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH157-1093A111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH30251431Medicaid
NH0504477YONH02OtherANTHEM BLUE CROSS
NHRE3931Medicare ID - Type Unspecified