Healthcare Provider Details

I. General information

NPI: 1801457031
Provider Name (Legal Business Name): ADBRIN ENTERPRISES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/27/2019
Last Update Date: 06/27/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

114 DOVER RD UNIT 4
CHICHESTER NH
03258-6555
US

IV. Provider business mailing address

114 DOVER RD UNIT 4
CHICHESTER NH
03258-6555
US

V. Phone/Fax

Practice location:
  • Phone: 603-630-3229
  • Fax:
Mailing address:
  • Phone: 603-630-3229
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code247200000X
TaxonomyOther Technician
License Number
License Number State

VIII. Authorized Official

Name: HEIDI MORLEY
Title or Position: OWNER
Credential:
Phone: 603-630-3229