Provider Demographics
NPI:1942493945
Name:NATUROPATHIC CLINIC OF CONCORD
Entity Type:Organization
Organization Name:NATUROPATHIC CLINIC OF CONCORD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NATUROPATHIC PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:PAMELA
Authorized Official - Middle Name:J
Authorized Official - Last Name:HERRING
Authorized Official - Suffix:
Authorized Official - Credentials:ND
Authorized Official - Phone:603-228-0407
Mailing Address - Street 1:46 S MAIN ST
Mailing Address - Street 2:
Mailing Address - City:CONCORD
Mailing Address - State:NH
Mailing Address - Zip Code:03301-4855
Mailing Address - Country:US
Mailing Address - Phone:603-228-0407
Mailing Address - Fax:603-228-3058
Practice Address - Street 1:46 S MAIN ST
Practice Address - Street 2:
Practice Address - City:CONCORD
Practice Address - State:NH
Practice Address - Zip Code:03301-4855
Practice Address - Country:US
Practice Address - Phone:603-228-0407
Practice Address - Fax:603-228-3058
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-22
Last Update Date:2009-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH001175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes175F00000XOther Service ProvidersNaturopathGroup - Multi-Specialty