Provider Demographics
NPI:1144505793
Name:MOSIER, PAUL OLIVER (LAC)
Entity type:Individual
Prefix:MR
First Name:PAUL
Middle Name:OLIVER
Last Name:MOSIER
Suffix:
Gender:M
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:290 STONEBRIDGE DR
Mailing Address - Street 2:
Mailing Address - City:NASHUA
Mailing Address - State:NH
Mailing Address - Zip Code:03063-5011
Mailing Address - Country:US
Mailing Address - Phone:888-639-5560
Mailing Address - Fax:
Practice Address - Street 1:290 STONEBRIDGE DR
Practice Address - Street 2:
Practice Address - City:NASHUA
Practice Address - State:NH
Practice Address - Zip Code:03063-5011
Practice Address - Country:US
Practice Address - Phone:888-639-5560
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-10-14
Last Update Date:2011-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH184171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist