Cassandre Cardillo, D.C.

Individual provider Active NPI Chiropractor · Dover, NH

NPI 1922012004 · NPPES record last updated Nov 20, 2007

Key facts

NPI
1922012004
Entity type
Individual (NPI type 1)
Primary specialty
Chiropractor 111N00000X
License
789-0707 (NH)
Practice address
43 Main St
#1
Dover, NH 03820-3800
Phone
(603) 516-0990
Fax
(603) 516-0991
NPI assigned
Jul 27, 2006
Sex
Female
Sole proprietor
No

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
3025MAMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Cancro Chiropractic PC Chiropractor Past
since Jan 13, 2015
Accepting new patients
Sports Group Physical Therapy Past Accepting new patients
Khalsa Chiropractic Office P.C. Chiropractor Past
since Jan 1, 2008
Accepting new patients
Bay State Physical Therapy of Randolph Inc Chiropractor Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 789-0707 NH Yes

Addresses

Primary practice location

43 Main St
#1
Dover, NH 03820-3800

Mailing address

43 Main St
#1
Dover, NH 03820-3800
Phone (603) 516-0990

Other providers in Dover, NH

All providers in Dover, NH · Chiropractor in New Hampshire

Sources for this page

Verify at the official NPI Registry.