Provider Demographics
NPI:1780933911
Name:DOUGHTY, CHELSEA NICOLE (DC)
Entity type:Individual
Prefix:DR
First Name:CHELSEA
Middle Name:NICOLE
Last Name:DOUGHTY
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:CHELSEA
Other - Middle Name:NICOLE
Other - Last Name:DUPREY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:66 1/2 SCHOOL ST
Mailing Address - Street 2:
Mailing Address - City:CONCORD
Mailing Address - State:NH
Mailing Address - Zip Code:03301-3912
Mailing Address - Country:US
Mailing Address - Phone:603-344-2012
Mailing Address - Fax:
Practice Address - Street 1:4 BRIMSTONE HILL RD
Practice Address - Street 2:SUITE 1
Practice Address - City:EPSOM
Practice Address - State:NH
Practice Address - Zip Code:03234-4001
Practice Address - Country:US
Practice Address - Phone:603-736-5515
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-09-04
Last Update Date:2014-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH 10741111N00000X
NH924111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor