Provider Demographics
NPI:1316097629
Name:INFINITE HEALTH CHIROPRACTIC & WELLNESS, LLC
Entity type:Organization
Organization Name:INFINITE HEALTH CHIROPRACTIC & WELLNESS, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:SERDAR
Authorized Official - Middle Name:
Authorized Official - Last Name:AYAN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:603-753-4455
Mailing Address - Street 1:PO BOX 8508
Mailing Address - Street 2:
Mailing Address - City:PENACOOK
Mailing Address - State:NH
Mailing Address - Zip Code:03303-8508
Mailing Address - Country:US
Mailing Address - Phone:603-753-4455
Mailing Address - Fax:603-753-4475
Practice Address - Street 1:126 LOUDON RD STE 3
Practice Address - Street 2:
Practice Address - City:CONCORD
Practice Address - State:NH
Practice Address - Zip Code:03301-5624
Practice Address - Country:US
Practice Address - Phone:603-753-4455
Practice Address - Fax:603-753-4475
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-11
Last Update Date:2020-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NHNH5960400111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NHRE7186Medicare PIN