Healthcare Provider Details

I. General information

NPI: 1750865093
Provider Name (Legal Business Name): MOTIVATED HEALTH CHOICES, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/22/2018
Last Update Date: 01/11/2021
Certification Date: 01/11/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

24 FRONT ST STE 412
EXETER NH
03833-2727
US

IV. Provider business mailing address

284 GREAT RD APT C5
ACTON MA
01720-4731
US

V. Phone/Fax

Practice location:
  • Phone: 603-262-1839
  • Fax:
Mailing address:
  • Phone: 603-262-1839
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: DR. JENNIFER CHRISTIANSEN
Title or Position: OWNER
Credential: MD
Phone: 603-262-1839