Healthcare Provider Details

I. General information

NPI: 1538932967
Provider Name (Legal Business Name): NOBLE PATHWAYS HOLISTIC WELLNESS CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/07/2023
Last Update Date: 01/31/2024
Certification Date: 01/31/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

75 RAILROAD AVE
SOUTH HAMILTON MA
01982-2387
US

IV. Provider business mailing address

444 CHEBACCO RD
SOUTH HAMILTON MA
01982-2716
US

V. Phone/Fax

Practice location:
  • Phone: 978-609-1493
  • Fax:
Mailing address:
  • Phone: 978-609-1493
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: ERIC S BROOKS
Title or Position: OWNER
Credential: MAOM
Phone: 978-609-1493