Provider Demographics
NPI:1376733451
Name:LEARNER, ADAM S (LIC AC)
Entity Type:Individual
Prefix:
First Name:ADAM
Middle Name:S
Last Name:LEARNER
Suffix:
Gender:M
Credentials:LIC AC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22 GONET DR
Mailing Address - Street 2:
Mailing Address - City:NEWMARKET
Mailing Address - State:NH
Mailing Address - Zip Code:03857-1746
Mailing Address - Country:US
Mailing Address - Phone:603-969-2229
Mailing Address - Fax:
Practice Address - Street 1:FAMILY ACUPUNTURE AND HERBS
Practice Address - Street 2:875 GREENLAND ROAD, SUITE B6
Practice Address - City:PORTSMOUTH
Practice Address - State:NH
Practice Address - Zip Code:03801
Practice Address - Country:US
Practice Address - Phone:603-969-2229
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-07-26
Last Update Date:2007-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA226530171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist