Healthcare Provider Details

I. General information

NPI: 1154893832
Provider Name (Legal Business Name): HS1 LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/19/2018
Last Update Date: 05/20/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

545 HOOKSETT RD UNIT 20
MANCHESTER NH
03104-2654
US

IV. Provider business mailing address

545 HOOKSETT RD UNIT 20
MANCHESTER NH
03104-2654
US

V. Phone/Fax

Practice location:
  • Phone: 603-413-8747
  • Fax: 603-332-0600
Mailing address:
  • Phone: 603-413-8747
  • Fax: 603-332-0600

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State

VIII. Authorized Official

Name: JEFF KLAUBERT
Title or Position: OWNER
Credential:
Phone: 603-413-8747