Functional Health Clinic LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

FUNCTIONAL HEALTH CLINIC LLC

Practice address

30 Exeter PL
Laconia, NH 03246-2058

Phone

(774) 696-3512

Fax

(772) 323-0509

NPI assigned

Mar 10, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Craig Hokanson, DC

Title

President

Phone

(774) 696-3512

Specialties & licenses 1

Addresses

Other names 1

• HOKANSON WELLNESS Doing business as

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

{
    "created_epoch": "1583798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583798400000",
    "number": "1821623877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 EXETER PL",
            "city": "LACONIA",
            "state": "NH",
            "postal_code": "032462058",
            "telephone_number": "774-696-3512",
            "fax_number": "772-323-0509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 EXETER PL",
            "city": "LACONIA",
            "state": "NH",
            "postal_code": "032462058",
            "telephone_number": "774-696-3512",
            "fax_number": "772-323-0509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FUNCTIONAL HEALTH CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-10",
        "last_updated": "2020-03-10",
        "certification_date": "2020-03-10",
        "status": "A",
        "authorized_official_last_name": "HOKANSON",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "774-696-3512",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HOKANSON WELLNESS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Marisa Fritchy, LICSW
• Christina E Frix, CRNA
• Makiko Fujita, M.ED., CAGS
• Fulcrum Behavioral Consultants LTD
• Ronald Arthur Fuller, PTA
• Functional Nutrition Institute LLC
• Tricia Furbish
• Stephen Fusco
• Fusion Wellness LLC
• Allison Lynn Gagnon, LMT

• Chiropractor in Laconia, NH
• Providers in Laconia, NH by specialty
• Chiropractor in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2020; 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.