Doctor Name: | KAREN MARIE BANNON BOISVERT |
NPI Number: | 1174614556 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | D.C. |
License Number: | 163-0494 |
Business Practice Address: | 600 State St Suite 5 Portsmouth, NH - 038014370 |
Business Phone Number: | 6034307744 |
Business Fax Number: | 6034366729 |
Mailing Address: | 124 State St, PORTSMOUTH |
State: | NH |
Postal Code: | 038013826 |
Phone Number: | 6037814774 |
Fax Number: | |
NPI Enumeration Date: | 09/28/2006 |
NPI Last Update Date: | 12/03/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 111N00000X |
License Number: | 163-0494 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NH |
Taxonomy Type: | Chiropractic Providers |
Taxonomy Classification: | Chiropractor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |