Provider Demographics
NPI:1245572221
Name:NEW HAMPSHIRE PROSTHETICS LLC
Entity Type:Organization
Organization Name:NEW HAMPSHIRE PROSTHETICS LLC
Other - Org Name:SEACOAST ORTHOTICS AND PROSTHETICS LLC (FORMER NAME)
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:MEMBER/PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:
Authorized Official - Last Name:PHILLIPS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:603-294-0010
Mailing Address - Street 1:30 INTERNATIONAL DR STE 201
Mailing Address - Street 2:
Mailing Address - City:PORTSMOUTH
Mailing Address - State:NH
Mailing Address - Zip Code:03801-6812
Mailing Address - Country:US
Mailing Address - Phone:603-294-0010
Mailing Address - Fax:603-294-0012
Practice Address - Street 1:30 INTERNATIONAL DR STE 201
Practice Address - Street 2:
Practice Address - City:PORTSMOUTH
Practice Address - State:NH
Practice Address - Zip Code:03801-6812
Practice Address - Country:US
Practice Address - Phone:603-294-0010
Practice Address - Fax:603-294-0012
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-03-18
Last Update Date:2019-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier