DR. SUE ANN SIDELL (NPI# 1265431423) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265431423 |
| Entity Type | Individual |
| Full Name | DR. SUE ANN SIDELL |
| Credential | D.C. |
| Practice Address |
630 Main St Gorham NH 03581-4900 |
| Practice Telephone | 6037527727 |
| Practice Fax Number | 6037522820 |
| Mailing Telephone | 6037527727 |
| Mailing Fax Number | 6037522820 |
| Enumeration Date | 2005-07-20 |
| Last Update Date | 2011-09-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 282-0397 | NH | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NH | 30010702 | 05 | |
| NH | CIGNA | 39454 | 01 |
| NH | ANTHEM BLUE CROSS BLUE SH | 0502493Y0NH01 | 01 |
| Street Address |
630 MAIN ST |
| City | GORHAM |
| State | NH |
| Zip Code | 03581-4900 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437158698 | Charles M Sidell | Chiropractor | 630 Main St, Gorham, NH 03581-4900 | 2005-07-20 |
| 1629219241 | Riverside Wellness Center, Pllc | Chiropractor | 630 Main St, Gorham, NH 03581-4900 | 2009-03-11 |
| 1811941685 | Sue Ann Sidell Dc | Chiropractor | 630 Main St, Gorham, NH 03581-4900 | 2006-05-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932456530 | Amy Lynn Galipeau | Hearing Instrument Specialist | 20 Glen Rd, Gorham, NH 03581 | 2012-08-14 |
| 1003070855 | Derek C Eastman | Physical Therapist | 38 Alpine Street, Gorham, NH 03581 | 2008-07-10 |
| 1003097668 | Todd Butler | Speech-Language Pathologist | 6 Howland Avenue, Gorham, NH 03581 | 2007-11-23 |
| 1235354978 | Nancy Gordon | Physical Therapist | 25 Mt. Carter Road, Gorham, NH 03581 | 2007-04-16 |
| 1740282136 | Sherrill Tracy | Family Medicine | 2 Broadway Street, Gorham, NH 03581 | 2005-08-15 |
| 1073040234 | Maryanne Eileen Christiansen | Physician Assistant | 2 Broadway Street, Gorham, NH 03581 | 2017-05-18 |
| 1720157225 | Town of Gorham | Ambulance | 347 Main St, Gorham, NH 03581 | 2006-11-07 |
| 1114288255 | Susan Martlock-j&s Care Enterprise | In Home Supportive Care | 2 1st St, Gorham, NH 03581-1007 | 2012-06-05 |
| 1003030552 | Jessica Cunningham | Specialist | 10 Madison Ave, Gorham, NH 03581-1107 | 2007-04-13 |
| 1568974996 | Kyle Matthew Boisselle | Specialist/Technologist | 18 Jewel St, Gorham, NH 03581-1211 | 2017-10-25 |
| Find all providers in zip 03581 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538257951 | Robert Lawrence Lavoie | Chiropractor | 8 Elm St., Gorham, ME 04038 | 2006-10-11 |
| 1437158698 | Charles M Sidell | Chiropractor | 630 Main St, Gorham, NH 03581-4900 | 2005-07-20 |
| 1083910970 | Heather Anna Theriault | Chiropractor | 358 Main St, Gorham, ME 04038-1314 | 2011-02-10 |
| 1194038232 | Chiropractic Clinic of Gorham PC Inc | Chiropractor | 8 Elm St, Gorham, ME 04038-1506 | 2010-07-19 |
| 1629219241 | Riverside Wellness Center, Pllc | Chiropractor | 630 Main St, Gorham, NH 03581-4900 | 2009-03-11 |
| 1730309352 | Joseph M Kerwin | Chiropractor | 164 Main St, Gorham, ME 04038-1319 | 2007-04-26 |
| 1811941685 | Sue Ann Sidell Dc | Chiropractor | 630 Main St, Gorham, NH 03581-4900 | 2006-05-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093312423 | Pelham Family Chiropractic, LLC | Chiropractor | 71 Bridge St, Pelham, NH 03076-3479 | 2020-10-08 |
| 1255947636 | Optimum Health & Performance | Chiropractor | 116 S River Rd Unit F, Bedford, NH 03110-6734 | 2020-09-21 |
| 1265048524 | Kelly Wrathall | Chiropractor | 11 Saint James Pl Apt 1117, Nashua, NH 03062-2641 | 2020-09-21 |
| 1821623877 | Functional Health Clinic LLC | Chiropractor | 30 Exeter Pl, Laconia, NH 03246-2058 | 2020-03-10 |
| 1821637026 | Molly Anna Pepin | Chiropractor | 103 Hanover St Ste 14, Lebanon, NH 03766-1098 | 2020-01-06 |
| 1982252292 | Alisha Freydenfeldt | Chiropractor | 17 Chenell Dr Ste 2, Concord, NH 03301-8539 | 2019-08-29 |
| 1881242683 | Mikayla Storm Eldridge | Chiropractor | 17a Tatro Rd Ste 101, Goffstown, NH 03045-2370 | 2019-08-27 |
| 1467911305 | Lakeview Chiropractic and Wellness Pllc | Chiropractor | 290 Daniel Webster Hwy # 2a, Meredith, NH 03253-5806 | 2019-03-19 |
| 1154893832 | Hs1 LLC | Chiropractor | 545 Hooksett Rd Unit 20, Manchester, NH 03104-2654 | 2018-12-19 |
| 1700367653 | George Jumpp | Chiropractor | 43 Main St Apt 1, Dover, NH 03820-6801 | 2018-08-28 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.