Provider Demographics
NPI:1528474640
Name:GRAZIER CHIROPRACTIC HEALTH CENTER
Entity type:Organization
Organization Name:GRAZIER CHIROPRACTIC HEALTH CENTER
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:RUSSELL
Authorized Official - Middle Name:B
Authorized Official - Last Name:GRAZIER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:603-436-8406
Mailing Address - Street 1:504 MIDDLE ST
Mailing Address - Street 2:
Mailing Address - City:PORTSMOUTH
Mailing Address - State:NH
Mailing Address - Zip Code:03801-5018
Mailing Address - Country:US
Mailing Address - Phone:603-436-8406
Mailing Address - Fax:603-431-5026
Practice Address - Street 1:504 MIDDLE ST
Practice Address - Street 2:
Practice Address - City:PORTSMOUTH
Practice Address - State:NH
Practice Address - Zip Code:03801-5018
Practice Address - Country:US
Practice Address - Phone:603-436-8406
Practice Address - Fax:603-431-5026
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-07-09
Last Update Date:2014-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH262A261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
Provider Identifiers
StateIdentifier IDID TypeIssuer
NHNH8605Medicare PIN