Provider Type Icon

MAIN STREET CHIROPRACTIC LLC NPI 1154752392


NPI Information

NPI: 1154752392
Provider Name: MAIN STREET CHIROPRACTIC, LLC
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Organization

Specialization: Family

CLIA Number: 30D0085139

Address:
382 MAIN ST
NASHUA, NH
ZIP 03060
Phone: (603) 882-5742
Get Directions

MAIN STREET CHIROPRACTIC, LLC is a family nurse practitioner in Nashua, NH. MAIN STREET CHIROPRACTIC, LLC NPI is 1154752392. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

382 MAIN ST
NASHUA, NH
ZIP 03060-046
Phone: (603) 882-5742

The provider's authorized official is Jerrilyn N Sullivan .
The authorized official title is Owner and has the following contact phone number (603) 882-5742.

The CLIA number assigned to this NPI record is 30D0085139 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/12/2013 and was last updated on 4/26/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1111N00000XChiropractor1120493NEW HAMPSHIRENo
2111N00000XChiropractorNo
3363LF0000XNurse PractitionerFamilyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10023867OTHERNEW HAMPSHIREMEDICARE
2615742OTHERNEW HAMPSHIREOPTUM
32612118OTHERNEW HAMPSHIREUNITED
43557492OTHERNEW HAMPSHIRECIGNA
5AA228827OTHERNEW HAMPSHIREHARVARD
612289121OTHERNEW HAMPSHIRECAQH
75554684OTHERNEW HAMPSHIREAETNA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.