Provider Demographics
NPI:1710029343
Name:JOSEPH RANNEY HEALING FRONTIERS
Entity type:Organization
Organization Name:JOSEPH RANNEY HEALING FRONTIERS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINIC DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:M
Authorized Official - Last Name:RANNEY
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:603-569-6318
Mailing Address - Street 1:26 BAY ST
Mailing Address - Street 2:
Mailing Address - City:WOLFEBORO
Mailing Address - State:NH
Mailing Address - Zip Code:03894-4320
Mailing Address - Country:US
Mailing Address - Phone:603-569-6318
Mailing Address - Fax:603-569-6483
Practice Address - Street 1:26 BAY ST
Practice Address - Street 2:
Practice Address - City:WOLFEBORO
Practice Address - State:NH
Practice Address - Zip Code:03894-4320
Practice Address - Country:US
Practice Address - Phone:603-569-6318
Practice Address - Fax:603-569-6483
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-12
Last Update Date:2012-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH865-0510111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NHU44865Medicare UPIN