Provider Demographics
NPI:1881868156
Name:LUSCOMB CHIROPRACTIC HEALTH CENTER
Entity Type:Organization
Organization Name:LUSCOMB CHIROPRACTIC HEALTH CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JONATHAN
Authorized Official - Middle Name:
Authorized Official - Last Name:LUSCOMB
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:603-382-5008
Mailing Address - Street 1:PO BOX 156
Mailing Address - Street 2:
Mailing Address - City:PLAISTOW
Mailing Address - State:NH
Mailing Address - Zip Code:03865-0156
Mailing Address - Country:US
Mailing Address - Phone:603-382-5008
Mailing Address - Fax:603-382-5038
Practice Address - Street 1:5 MAIN STREET
Practice Address - Street 2:
Practice Address - City:PLAISTOW
Practice Address - State:NH
Practice Address - Zip Code:03865-3002
Practice Address - Country:US
Practice Address - Phone:603-382-5008
Practice Address - Fax:603-382-5038
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-17
Last Update Date:2008-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH270-0687B261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center