# INTEGRATIVE OSTEOPATHIC MEDICINE & HEALING CENTER, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1811384555
- **Authorized official:** DR. JONQUILLE BOUCHARD D.O. (OWNER)
- **Authorized official phone:** (603) 641-2070

## Contact information

- **Practice address:** 16 HIGH ST, SUITE 2, MANCHESTER, NH 03101-1610
- **Practice address phone:** (603) 641-2070
- **Practice address fax:** (603) 641-8084
- **Mailing address:** 16 HIGH ST, SUITE 2, MANCHESTER, NH 03101-1610
- **Mailing address phone:** (603) 641-2070
- **Mailing address fax:** (603) 641-8084

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 204D00000X | Neuromusculoskeletal Medicine & OMM Physician | 16816 | NH | Yes |

## Other

- **Enumeration date:** 04/21/2015
- **Last updated:** 04/21/2015