Healthcare Provider Details

I. General information

NPI: 1952374134
Provider Name (Legal Business Name): BRIAN J PATERSON ND, LAC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/09/2006
Last Update Date: 10/31/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

203 PICKEREL POND RD
LACONIA NH
03246-1510
US

IV. Provider business mailing address

203 PICKEREL POND RD
LACONIA NH
03246-1510
US

V. Phone/Fax

Practice location:
  • Phone: 603-524-9261
  • Fax: 603-279-8870
Mailing address:
  • Phone: 603-524-9261
  • Fax: 603-279-8870

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171100000X
TaxonomyAcupuncturist
License NumberN005
License Number StateNH
# 2
Primary TaxonomyY
Taxonomy Code175F00000X
TaxonomyNaturopath
License Number31
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: