Healthcare Provider Details
I. General information
NPI: 1285883249
Provider Name (Legal Business Name): HEALTHY HORIZONS CHIROPRACTIC CARE
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/15/2008
Last Update Date: 09/15/2008
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
39 SIMON ST STE 2B
NASHUA NH
03060-3046
US
IV. Provider business mailing address
39 SIMON ST STE 2B
NASHUA NH
03060-3046
US
V. Phone/Fax
- Phone: 603-882-2144
- Fax: 603-882-2144
- Phone: 603-882-2144
- Fax: 603-882-2144
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 261QP2000X |
| Taxonomy | Physical Therapy Clinic/Center |
| License Number | 2460 |
| License Number State | NH |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QI0500X |
| Taxonomy | Infusion Therapy Clinic/Center |
| License Number | 6990803 |
| License Number State | NH |
VIII. Authorized Official
Name: DR.
GABRIEL
M
DAWSON
Title or Position: DIRECTOR
Credential: DC
Phone: 603-882-2144