Provider Demographics
NPI:1164661138
Name:NASHUA NATURAL MEDICINE, LLC
Entity Type:Organization
Organization Name:NASHUA NATURAL MEDICINE, LLC
Other - Org Name:BALANCE POINT NATURAL MEDICINE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/MEMBER
Authorized Official - Prefix:MR
Authorized Official - First Name:SEAN
Authorized Official - Middle Name:PATRICK
Authorized Official - Last Name:DOHERTY
Authorized Official - Suffix:
Authorized Official - Credentials:LAC, DNBAO
Authorized Official - Phone:603-672-3600
Mailing Address - Street 1:354 NASHUA ST
Mailing Address - Street 2:
Mailing Address - City:MILFORD
Mailing Address - State:NH
Mailing Address - Zip Code:03055-4911
Mailing Address - Country:US
Mailing Address - Phone:603-672-3600
Mailing Address - Fax:
Practice Address - Street 1:354 NASHUA ST
Practice Address - Street 2:
Practice Address - City:MILFORD
Practice Address - State:NH
Practice Address - Zip Code:03055-4911
Practice Address - Country:US
Practice Address - Phone:603-672-3600
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-02-13
Last Update Date:2009-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH8171100000X
NH16175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty
No175F00000XOther Service ProvidersNaturopathGroup - Single Specialty