Bazzani Chiropractic Manchester, LLC

Organization Active NPI Chiropractor · Manchester, NH

NPI 1407340672 · NPPES record last updated Jun 20, 2018

Key facts

NPI
1407340672
Entity type
Organization (NPI type 2)
Primary specialty
Chiropractor 111N00000X
License
225-1095 (NH)
Legal business name
BAZZANI CHIROPRACTIC MANCHESTER, LLC
Practice address
1361 Elm St Ste 104
Manchester, NH 03101-1315
Phone
(603) 206-4346
NPI assigned
Jun 20, 2018
Organization subpart
No

Authorized official

Name
Dr. Lisa Lanzara-Bazzani, DC
Title
Manager
Phone
(603) 557-5990

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in NH

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20180925000445 NH Part B Supplier - Clinic/Group Practice 2062763451 Receives reassigned benefits from 2 practitioners
Practice locations: Manchester, NH

National Provider Directory

Locations

1361 Elm St
Ste 104
Manchester, NH 03101
Phone (603) 206-4346

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor
Group: 193400000X SINGLE SPECIALTY GROUP
111N00000X 225-1095 NH Yes

Addresses

Primary practice location

1361 Elm St Ste 104
Manchester, NH 03101-1315

Mailing address

1361 Elm St Ste 104
Manchester, NH 03101-1315
Phone (603) 206-4346

Other providers in Manchester, NH

All providers in Manchester, NH · Chiropractor in New Hampshire

Sources for this page

Verify at the official NPI Registry.