Provider Demographics
NPI:1588743579
Name:MCQUEENEY, WILLIAM ROY (DC, PT)
Entity type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:ROY
Last Name:MCQUEENEY
Suffix:
Gender:M
Credentials:DC, PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9 HAMPTON ROAD
Mailing Address - Street 2:
Mailing Address - City:EXETER
Mailing Address - State:NH
Mailing Address - Zip Code:63833-4807
Mailing Address - Country:US
Mailing Address - Phone:603-778-2919
Mailing Address - Fax:603-778-9051
Practice Address - Street 1:9 HAMPTON ROAD
Practice Address - Street 2:
Practice Address - City:EXETER
Practice Address - State:NH
Practice Address - Zip Code:63833-4807
Practice Address - Country:US
Practice Address - Phone:603-778-2919
Practice Address - Fax:603-778-9051
Is Sole Proprietor?:No
Enumeration Date:2006-11-02
Last Update Date:2012-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH0922225100000X
NH271-0687A111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH80009727Medicaid
520027OtherAETNA
10906431OtherCOQH
520027OtherAETNA
T25862Medicare UPIN
NHNH9729Medicare PIN