Provider Demographics
NPI:1902133242
Name:NEW LONDON CHIROPRACTIC CENTER, PLLC
Entity Type:Organization
Organization Name:NEW LONDON CHIROPRACTIC CENTER, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR OF CHIROPRACTIC
Authorized Official - Prefix:
Authorized Official - First Name:OLIVIA
Authorized Official - Middle Name:
Authorized Official - Last Name:POWERS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:603-526-6522
Mailing Address - Street 1:PO BOX 1216
Mailing Address - Street 2:71 PLEASANT STREET
Mailing Address - City:NEW LONDON
Mailing Address - State:NH
Mailing Address - Zip Code:03257-1216
Mailing Address - Country:US
Mailing Address - Phone:603-526-6522
Mailing Address - Fax:603-526-2115
Practice Address - Street 1:71 PLEASANT STREET
Practice Address - Street 2:
Practice Address - City:NEW LONDON
Practice Address - State:NH
Practice Address - Zip Code:03257-1216
Practice Address - Country:US
Practice Address - Phone:603-526-6522
Practice Address - Fax:603-526-2115
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:NEW LONDON CHIROPRACTIC CENTER, PLLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2009-11-06
Last Update Date:2009-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH842-0509111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty