Provider Demographics
NPI:1194050567
Name:J A HERNER CHIROPRACTIC, PLLC
Entity type:Organization
Organization Name:J A HERNER CHIROPRACTIC, PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:HERNER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:603-595-4600
Mailing Address - Street 1:60 MAIN ST
Mailing Address - Street 2:SUITE 100
Mailing Address - City:NASHUA
Mailing Address - State:NH
Mailing Address - Zip Code:03060-2720
Mailing Address - Country:US
Mailing Address - Phone:603-595-4600
Mailing Address - Fax:603-595-4609
Practice Address - Street 1:60 MAIN ST
Practice Address - Street 2:SUITE 100
Practice Address - City:NASHUA
Practice Address - State:NH
Practice Address - Zip Code:03060-2720
Practice Address - Country:US
Practice Address - Phone:603-595-4600
Practice Address - Fax:603-595-4609
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-10-02
Last Update Date:2009-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH817-0608111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty