Provider Demographics
NPI:1528088333
Name:BREAKFAST HILL CHIROPRACTIC, PLLC
Entity type:Organization
Organization Name:BREAKFAST HILL CHIROPRACTIC, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:W
Authorized Official - Last Name:ROGERS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:603-964-1500
Mailing Address - Street 1:1247 WASHINGTON RD
Mailing Address - Street 2:
Mailing Address - City:RYE
Mailing Address - State:NH
Mailing Address - Zip Code:03870-2346
Mailing Address - Country:US
Mailing Address - Phone:603-964-1500
Mailing Address - Fax:603-964-1591
Practice Address - Street 1:1247 WASHINGTON RD
Practice Address - Street 2:
Practice Address - City:RYE
Practice Address - State:NH
Practice Address - Zip Code:03870-2346
Practice Address - Country:US
Practice Address - Phone:603-964-1500
Practice Address - Fax:603-964-1591
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-21
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH254-0496111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH8733835OtherCIGNA
NH0508915Y0NH02OtherBLUE CROSS
NHRE7979Medicare ID - Type Unspecified
NH8733835OtherCIGNA