Provider Demographics
NPI:1285918441
Name:SOUTHERN NEW HAMPSHIRE VETERINARY REFERRAL HOSPITAL
Entity type:Organization
Organization Name:SOUTHERN NEW HAMPSHIRE VETERINARY REFERRAL HOSPITAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JOSHUA
Authorized Official - Middle Name:ALEXANDER
Authorized Official - Last Name:JASPER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:603-782-8181
Mailing Address - Street 1:336 ABBY RD
Mailing Address - Street 2:
Mailing Address - City:MANCHESTER
Mailing Address - State:NH
Mailing Address - Zip Code:03103-3363
Mailing Address - Country:US
Mailing Address - Phone:603-782-8181
Mailing Address - Fax:603-782-8167
Practice Address - Street 1:336 ABBY RD
Practice Address - Street 2:
Practice Address - City:MANCHESTER
Practice Address - State:NH
Practice Address - Zip Code:03103-3363
Practice Address - Country:US
Practice Address - Phone:603-782-8181
Practice Address - Fax:603-782-8167
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-10-06
Last Update Date:2011-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH1354174M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174M00000XOther Service ProvidersVeterinarianGroup - Multi-Specialty