Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QS0010X | Family Doctor - Sports Medicine | 13034 | NH |
NPI | 1144214479 |
---|---|
Provider Name | Dr. Christopher Couture |
First Address | Merrimack, NH 03054 |
Second Address | Merrimack, NH 03054-2748 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/09/2005 |
Last Update Date | 27/05/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
3074678 | (05) | NH |
I61336 | (02) |