Provider Demographics
NPI:1114034790
Name:SILCOCKS, JANE E (DC)
Entity type:Individual
Prefix:MRS
First Name:JANE
Middle Name:E
Last Name:SILCOCKS
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:40 PROVINCE LAKE RD
Mailing Address - Street 2:
Mailing Address - City:SANBORNVILLE
Mailing Address - State:NH
Mailing Address - Zip Code:03872-3900
Mailing Address - Country:US
Mailing Address - Phone:603-522-3100
Mailing Address - Fax:603-522-5158
Practice Address - Street 1:40 PROVINCE LAKE RD
Practice Address - Street 2:
Practice Address - City:SANBORNVILLE
Practice Address - State:NH
Practice Address - Zip Code:03872-3900
Practice Address - Country:US
Practice Address - Phone:603-522-3100
Practice Address - Fax:603-522-5158
Is Sole Proprietor?:No
Enumeration Date:2006-08-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH6580402111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
RE6649Medicare ID - Type Unspecified