Healthcare Provider Details

I. General information

NPI: 1063564896
Provider Name (Legal Business Name): LUKE HUBER N.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/18/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

53 STILES RD SUITE 101
SALEM NH
03079-2889
US

IV. Provider business mailing address

53 STILES RD SUITE 101
SALEM NH
03079-2889
US

V. Phone/Fax

Practice location:
  • Phone: 603-890-9900
  • Fax: 603-890-9933
Mailing address:
  • Phone: 603-890-9900
  • Fax: 603-890-9933

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code175F00000X
TaxonomyNaturopath
License Number24
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: