Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111N00000X | Chiropractor | 736-0105 | NH |
NPI | 1003076217 |
---|---|
Provider Name | Dr. Steven B Baroody |
First Address | Manchester, NH 03101-1217 |
Second Address | Manchester, NH 03101-1217 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 11/06/2008 |
Last Update Date | 19/02/2019 |