Provider Demographics
NPI:1578790648
Name:DUBE, EILEEN TERESA (LAC, MAC, MS-PREP)
Entity Type:Individual
Prefix:MS
First Name:EILEEN
Middle Name:TERESA
Last Name:DUBE
Suffix:
Gender:F
Credentials:LAC, MAC, MS-PREP
Other - Prefix:
Other - First Name:EILEEN
Other - Middle Name:TERESA
Other - Last Name:HOAR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2 BUCKTHORN RD
Mailing Address - Street 2:
Mailing Address - City:PLAISTOW
Mailing Address - State:NH
Mailing Address - Zip Code:03865-2785
Mailing Address - Country:US
Mailing Address - Phone:603-489-1000
Mailing Address - Fax:
Practice Address - Street 1:2 MARY E CLARK DR STE 7
Practice Address - Street 2:
Practice Address - City:HAMPSTEAD
Practice Address - State:NH
Practice Address - Zip Code:03841-5206
Practice Address - Country:US
Practice Address - Phone:603-489-1000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-16
Last Update Date:2018-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist