Provider Demographics
NPI:1760204515
Name:AWAKENING CHIROPRACTIC NORTH, PLLC
Entity type:Organization
Organization Name:AWAKENING CHIROPRACTIC NORTH, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JILIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:STOGNIEW
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:603-238-9044
Mailing Address - Street 1:12 YEATON RD UNIT A1
Mailing Address - Street 2:BOX 16
Mailing Address - City:PLYMOUTH
Mailing Address - State:NH
Mailing Address - Zip Code:03264-3457
Mailing Address - Country:US
Mailing Address - Phone:603-238-9044
Mailing Address - Fax:603-238-9107
Practice Address - Street 1:12 YEATON RD UNIT A1
Practice Address - Street 2:
Practice Address - City:PLYMOUTH
Practice Address - State:NH
Practice Address - Zip Code:03264-3457
Practice Address - Country:US
Practice Address - Phone:603-238-9044
Practice Address - Fax:603-238-9107
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-31
Last Update Date:2024-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center