Provider Demographics
NPI:1306967385
Name:SUERMANN, PAUL C (LMT,CLT)
Entity type:Individual
Prefix:MR
First Name:PAUL
Middle Name:C
Last Name:SUERMANN
Suffix:
Gender:M
Credentials:LMT,CLT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 MAPLE RIDGE DR UNIT 103
Mailing Address - Street 2:
Mailing Address - City:MERRIMACK
Mailing Address - State:NH
Mailing Address - Zip Code:03054-7220
Mailing Address - Country:US
Mailing Address - Phone:603-494-9595
Mailing Address - Fax:
Practice Address - Street 1:112 RIVERWAY PL
Practice Address - Street 2:BLDG 1
Practice Address - City:BEDFORD
Practice Address - State:NH
Practice Address - Zip Code:03110-6730
Practice Address - Country:US
Practice Address - Phone:603-623-0762
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH1447M172M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172M00000XOther Service ProvidersMechanotherapist