Provider Demographics
NPI:1689225773
Name:ALBRECHT INTEGRATIVE OSTEOPATHY, PLLC
Entity Type:Organization
Organization Name:ALBRECHT INTEGRATIVE OSTEOPATHY, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JASON
Authorized Official - Middle Name:MICHAEL
Authorized Official - Last Name:ALBRECHT
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:414-870-8550
Mailing Address - Street 1:25 CATHEDRAL CIR
Mailing Address - Street 2:
Mailing Address - City:NASHUA
Mailing Address - State:NH
Mailing Address - Zip Code:03063-2716
Mailing Address - Country:US
Mailing Address - Phone:414-870-8550
Mailing Address - Fax:
Practice Address - Street 1:707 CHESTNUT ST
Practice Address - Street 2:
Practice Address - City:MANCHESTER
Practice Address - State:NH
Practice Address - Zip Code:03104-3010
Practice Address - Country:US
Practice Address - Phone:414-870-8550
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-09-20
Last Update Date:2019-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes204D00000XAllopathic & Osteopathic PhysiciansNeuromusculoskeletal Medicine & OMMGroup - Single Specialty