Healthcare Provider Details

I. General information

NPI: 1689225773
Provider Name (Legal Business Name): ALBRECHT INTEGRATIVE OSTEOPATHY, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/20/2019
Last Update Date: 11/21/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

707 CHESTNUT ST
MANCHESTER NH
03104-3010
US

IV. Provider business mailing address

25 CATHEDRAL CIR
NASHUA NH
03063-2716
US

V. Phone/Fax

Practice location:
  • Phone: 414-870-8550
  • Fax:
Mailing address:
  • Phone: 414-870-8550
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code204D00000X
TaxonomyNeuromusculoskeletal Medicine & OMM Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. JASON MICHAEL ALBRECHT
Title or Position: OWNER
Credential: DO
Phone: 414-870-8550