Provider Demographics
NPI:1447634993
Name:CHASE, DIANE M (LAC, DIP LAC)
Entity type:Individual
Prefix:MS
First Name:DIANE
Middle Name:M
Last Name:CHASE
Suffix:
Gender:F
Credentials:LAC, DIP LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
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
Is Sole Proprietor?:Yes
Enumeration Date:2015-07-15
Last Update Date:2023-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH237171100000X, 171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist