Broadway Chiropractic Office, PLLC
Organization Active NPI Chiropractor · Derry, NH
NPI 1932379930 · NPPES record last updated Feb 7, 2025
Key facts
- NPI
- 1932379930
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Chiropractor 111N00000X
- License
- 758-0106 (NH)
- Legal business name
- BROADWAY CHIROPRACTIC OFFICE, PLLC
- Practice address
- 35 Manchester Rd Ste 6a
Derry, NH 03038-3062 - Phone
- (603) 434-5151
- NPI assigned
- Mar 5, 2008
- Organization subpart
- No
Authorized official
- Name
- Dr. Philip B. Szalowski, D.C.
- Title
- Part Owner
- Phone
- (603) 434-5151
Practitioners 2
-
Philip B. Szalowski, D.C.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NH
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080619000244 | NH | Part B Supplier - Clinic/Group Practice | 7719058734 |
Receives reassigned benefits from 2 practitioners Practice locations: Derry, NH |
National Provider Directory
Locations
35 Manchester Rd
Ste 6A
Derry, NH 03038
Phone (603) 434-5151
72 W Broadway
Derry, NH 03038
Phone (603) 434-5151
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | 758-0106 | NH | Yes |
Addresses
Primary practice location
35 Manchester Rd Ste 6a
Derry, NH 03038-3062
Mailing address
35 Manchester Rd Ste 6a
Derry, NH 03038-3062
Phone (603) 434-5151
Other providers in Derry, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 7, 2025. 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.