Provider Demographics
NPI:1841701604
Name:NASHUA ACUPUNCTURE CENTER, LLC
Entity type:Organization
Organization Name:NASHUA ACUPUNCTURE CENTER, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:AMANDA
Authorized Official - Middle Name:
Authorized Official - Last Name:SUTTER-FRANCIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:603-324-7509
Mailing Address - Street 1:142 MAIN ST RM 301
Mailing Address - Street 2:
Mailing Address - City:NASHUA
Mailing Address - State:NH
Mailing Address - Zip Code:03060-2798
Mailing Address - Country:US
Mailing Address - Phone:603-324-7509
Mailing Address - Fax:
Practice Address - Street 1:142 MAIN ST RM 301
Practice Address - Street 2:
Practice Address - City:NASHUA
Practice Address - State:NH
Practice Address - Zip Code:03060-2798
Practice Address - Country:US
Practice Address - Phone:603-324-7509
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-10-19
Last Update Date:2017-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH187171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty