Provider Demographics
NPI:1255601241
Name:SEACOAST BUSINESS & HEALTH CLINIC INC
Entity type:Organization
Organization Name:SEACOAST BUSINESS & HEALTH CLINIC INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:C
Authorized Official - Last Name:NYE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:603-692-6066
Mailing Address - Street 1:396 HIGH ST STE 1
Mailing Address - Street 2:SEACOAST REDICARE
Mailing Address - City:SOMERSWORTH
Mailing Address - State:NH
Mailing Address - Zip Code:03878
Mailing Address - Country:US
Mailing Address - Phone:603-692-6066
Mailing Address - Fax:603-692-4815
Practice Address - Street 1:396 HIGH ST STE 1
Practice Address - Street 2:SEACOAST REDICARE
Practice Address - City:SOMERSWORTH
Practice Address - State:NH
Practice Address - Zip Code:03878
Practice Address - Country:US
Practice Address - Phone:603-692-6066
Practice Address - Fax:603-692-4815
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SEACOAST BUSINESS & HEALTH CLINIC INC DBA SEACOAST REDICARE
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2012-01-06
Last Update Date:2012-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH2062225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty