Provider Demographics
NPI:1386194470
Name:SHOBER, NATHANIEL (ND)
Entity Type:Individual
Prefix:
First Name:NATHANIEL
Middle Name:
Last Name:SHOBER
Suffix:
Gender:M
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:765 S MAIN ST STE 103
Mailing Address - Street 2:
Mailing Address - City:MANCHESTER
Mailing Address - State:NH
Mailing Address - Zip Code:03102-5141
Mailing Address - Country:US
Mailing Address - Phone:603-945-1945
Mailing Address - Fax:603-626-3908
Practice Address - Street 1:765 S MAIN ST STE 103
Practice Address - Street 2:
Practice Address - City:MANCHESTER
Practice Address - State:NH
Practice Address - Zip Code:03102-5141
Practice Address - Country:US
Practice Address - Phone:603-945-1945
Practice Address - Fax:603-626-3908
Is Sole Proprietor?:No
Enumeration Date:2016-10-12
Last Update Date:2021-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH0006175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath