Stephen Anthony Druke, DC
Individual provider Active NPI Chiropractor · Berlin, NH
NPI 1780649285 · NPPES record last updated Dec 23, 2014
Key facts
- NPI
- 1780649285
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 241-0496 (NH)
- Practice address
- 15 Exchange St
Berlin, NH 03570-1948 - Phone
- (603) 752-2310
- Fax
- (603) 752-2310
- NPI assigned
- Apr 18, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Chiropractic
- Education
- Western States College of Chiropractic, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
15 Exchange St
Suite 1
Berlin, NH 03570-1948
Phone (603) 752-2310
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NH
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20051116001002 | NH | Practitioner - Chiropractic | 4789603978 |
Reassigns benefits to 1 organization Practice locations: Berlin, NH; Colebrook, NH |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 241-0496 | NH | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stephen a Druke & Lori S Ramos | Chiropractor | Current |
Accepting new patients |
Locations
15 Exchange St
Berlin, NH 03570
Phone (603) 752-2310
15 Exchange St
Ste 1
Berlin, NH 03570
Phone (603) 752-2310
107 Main St
Colebrook, NH 03576
Phone (603) 237-5325
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 241-0496 | NH | Yes |
Addresses
Primary practice location
15 Exchange St
Berlin, NH 03570-1948
Mailing address
PO Box 212
Berlin, NH 03570-0212
Phone (603) 752-2310
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30251486 | Medicaid | NH |
Other providers in Berlin, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 23, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.