Healthcare Provider Details

I. General information

NPI: 1972803716
Provider Name (Legal Business Name): DAVID PAUL DACHOWSKI B.S.,H.I.S.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/27/2010
Last Update Date: 10/27/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25 STARK ST
MANCHESTER NH
03101-1983
US

IV. Provider business mailing address

25 STARK ST
MANCHESTER NH
03101-1983
US

V. Phone/Fax

Practice location:
  • Phone: 603-627-1762
  • Fax: 603-623-1299
Mailing address:
  • Phone: 603-627-1762
  • Fax: 603-623-1299

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License Number156
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: