Provider Demographics
NPI:1881024164
Name:COUGARSOUND SPIRITS HEALING CTR
Entity Type:Organization
Organization Name:COUGARSOUND SPIRITS HEALING CTR
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE PROPRIETOR
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTINE
Authorized Official - Middle Name:FRANCES
Authorized Official - Last Name:KUHLMAN
Authorized Official - Suffix:
Authorized Official - Credentials:APRN
Authorized Official - Phone:603-927-4526
Mailing Address - Street 1:PO BOX 222
Mailing Address - Street 2:
Mailing Address - City:NORTH SUTTON
Mailing Address - State:NH
Mailing Address - Zip Code:03260-0222
Mailing Address - Country:US
Mailing Address - Phone:603-927-4526
Mailing Address - Fax:603-927-4101
Practice Address - Street 1:77 PENACOOK RD
Practice Address - Street 2:
Practice Address - City:NORTH SUTTON
Practice Address - State:NH
Practice Address - Zip Code:03260-9998
Practice Address - Country:US
Practice Address - Phone:603-927-4526
Practice Address - Fax:603-927-4101
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-11-22
Last Update Date:2013-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH017265-23261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
Provider Identifiers
StateIdentifier IDID TypeIssuer
NHR74633Medicare UPIN