Doctor Name: | DR. GLEN D PHILO |
NPI Number: | 1851467567 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DC |
License Number: | 2740687B |
Business Practice Address: | 76 Northeastern Blvd Suite 32a Nashua, NH - 03062 |
Business Phone Number: | 6038890550 |
Business Fax Number: | 6038890355 |
Mailing Address: | 76 Northeastern Blvd, Suite 32a NASHUA |
State: | NH |
Postal Code: | 03062 |
Phone Number: | 6038890550 |
Fax Number: | 6038890355 |
NPI Enumeration Date: | 11/27/2006 |
NPI Last Update Date: | 11/25/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 111N00000X |
License Number: | 2740687B |
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. |