Provider Demographics
NPI:1861908675
Name:SYNERGY ACUPUNCTURE & INTEGRATIVE WELLNESS SOLUTIONS, PLLC
Entity type:Organization
Organization Name:SYNERGY ACUPUNCTURE & INTEGRATIVE WELLNESS SOLUTIONS, PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:DIANE
Authorized Official - Middle Name:M
Authorized Official - Last Name:CHASE
Authorized Official - Suffix:
Authorized Official - Credentials:LAC, MAC
Authorized Official - Phone:603-672-0272
Mailing Address - Street 1:PO BOX 1089
Mailing Address - Street 2:
Mailing Address - City:MERRIMACK
Mailing Address - State:NH
Mailing Address - Zip Code:03054-1089
Mailing Address - Country:US
Mailing Address - Phone:603-672-0272
Mailing Address - Fax:603-672-0270
Practice Address - Street 1:135 NH ROUTE 101A
Practice Address - Street 2:
Practice Address - City:AMHERST
Practice Address - State:NH
Practice Address - Zip Code:03031-2248
Practice Address - Country:US
Practice Address - Phone:603-672-0272
Practice Address - Fax:603-672-0270
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SYNERGY ACUPUNCTURE & INTEGRATIVE WELLNESS SOLUTIONS, PLLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2017-12-18
Last Update Date:2023-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH237171100000X, 171100000X
225100000X, 225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
No225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Multi-Specialty