Healthcare Provider Details

I. General information

NPI: 1962574194
Provider Name (Legal Business Name): LOUIS JAY BORNSTEIN LIC.AC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/14/2006
Last Update Date: 02/13/2023
Certification Date: 02/13/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

540 LAFAYETTE RD
HAMPTON NH
03842-3344
US

IV. Provider business mailing address

540 LAFAYETTE RD
HAMPTON NH
03842-3344
US

V. Phone/Fax

Practice location:
  • Phone: 603-997-6784
  • Fax: 603-601-6395
Mailing address:
  • Phone: 603-997-6784
  • Fax: 603-601-6395

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171100000X
TaxonomyAcupuncturist
License NumberNH13
License Number StateNH
# 2
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License NumberNH 013
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: