Healthcare Provider Details

I. General information

NPI: 1942493945
Provider Name (Legal Business Name): NATUROPATHIC CLINIC OF CONCORD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/22/2007
Last Update Date: 11/19/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

46 S MAIN ST
CONCORD NH
03301-4855
US

IV. Provider business mailing address

46 S MAIN ST
CONCORD NH
03301-4855
US

V. Phone/Fax

Practice location:
  • Phone: 603-228-0407
  • Fax: 603-228-3058
Mailing address:
  • Phone: 603-228-0407
  • Fax: 603-228-3058

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code175F00000X
TaxonomyNaturopath
License Number001
License Number StateNH

VIII. Authorized Official

Name: DR. PAMELA J HERRING
Title or Position: NATUROPATHIC PHYSICIAN
Credential: N.D.
Phone: 603-228-0407