Healthcare Provider Details

I. General information

NPI: 1972263176
Provider Name (Legal Business Name): ALTERNATIVE PAIN MANAGEMENT, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/29/2021
Last Update Date: 06/06/2022
Certification Date: 06/06/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

514 SOUTH ST STE 3
BOW NH
03304-3419
US

IV. Provider business mailing address

514 SOUTH ST STE 3
BOW NH
03304-3419
US

V. Phone/Fax

Practice location:
  • Phone: 603-333-2384
  • Fax:
Mailing address:
  • Phone: 603-333-2384
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code204D00000X
TaxonomyNeuromusculoskeletal Medicine & OMM Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code261QM2500X
TaxonomyMedical Specialty Clinic/Center
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code202D00000X
TaxonomyIntegrative Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. LINDA MARIE SMITH
Title or Position: OWNER
Credential: MD
Phone: 603-333-2384