Healthcare Provider Details

I. General information

NPI: 1174333827
Provider Name (Legal Business Name): TEGRITY HEALTH, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/13/2025
Last Update Date: 01/13/2025
Certification Date: 01/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

127 SHORE DR
HENNIKER NH
03242-6154
US

IV. Provider business mailing address

76 FORT EDDY RD SUITE 1 #1075
CONCORD NH
03301
US

V. Phone/Fax

Practice location:
  • Phone: 501-229-9346
  • Fax:
Mailing address:
  • Phone: 501-229-9346
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM2500X
TaxonomyMedical Specialty Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. KEEGAN ZIEMBA
Title or Position: OWNER
Credential: MD
Phone: 501-229-9346