Provider Demographics
NPI:1306590716
Name:SPINE BY DESIGN FAMILY CHIROPRACTIC, LLC
Entity type:Organization
Organization Name:SPINE BY DESIGN FAMILY CHIROPRACTIC, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ERIN
Authorized Official - Middle Name:
Authorized Official - Last Name:MCNULTY
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:603-399-5443
Mailing Address - Street 1:17 OLD SALT DR
Mailing Address - Street 2:
Mailing Address - City:SEABROOK
Mailing Address - State:NH
Mailing Address - Zip Code:03874-4687
Mailing Address - Country:US
Mailing Address - Phone:603-399-5443
Mailing Address - Fax:
Practice Address - Street 1:540 LAFAYETTE RD
Practice Address - Street 2:
Practice Address - City:HAMPTON
Practice Address - State:NH
Practice Address - Zip Code:03842-3344
Practice Address - Country:US
Practice Address - Phone:603-399-5443
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-05
Last Update Date:2022-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty