Jordan Chausse LLC

Primary specialty

Occupational Medicine Clinic/CenterTaxonomy code 261QX0100X

License

647013 Issued in NH

Legal business name

JORDAN CHAUSSE LLC

Practice address

81 Riverside Dr
Suite 1
Lebanon, NH 03766-2033

Phone

(603) 443-9639

Fax

(603) 443-9659

NPI assigned

Jan 21, 2016

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Theresa Chausse

Title

Owner

Phone

(603) 443-9639

Specialties & licenses 1

Addresses

Other names 1

• A Community in Motion Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1453334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453334400000",
    "number": "1285091207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "81 RIVERSIDE DR",
            "address_2": "SUITE 1",
            "city": "LEBANON",
            "state": "NH",
            "postal_code": "037662033",
            "telephone_number": "603-443-9639",
            "fax_number": "603-443-9659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "81 RIVERSIDE DR",
            "address_2": "SUITE 1",
            "city": "LEBANON",
            "state": "NH",
            "postal_code": "037662033",
            "telephone_number": "603-443-9639",
            "fax_number": "603-443-9659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JORDAN CHAUSSE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-21",
        "last_updated": "2016-01-21",
        "status": "A",
        "authorized_official_last_name": "CHAUSSE",
        "authorized_official_first_name": "THERESA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "603-443-9639"
    },
    "taxonomies": [
        {
            "code": "261QX0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Occupational Medicine",
            "state": "NH",
            "license": "647013",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "A Community in Motion",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Maura Rose Jones, RD, CDE
• Nathaniel W Jones, PHD
• Victoria M Jones
• Vivien Jones
• Marc Roux Jordaan, MBCHB
• Jordan Chausse, LLC
• Brenda Louva Jordan, APRN
• Joe K Joseph, MD
• Lucia Anne Joseph, MD
• Wandana Joshi, D.O.

• Occupational Medicine Clinic/Center in Lebanon, NH
• Providers in Lebanon, NH by specialty
• Occupational Medicine Clinic/Center in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.