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Contact Information

INTEGRATED MEDICINE: CHIROPRACTIC LLC
1641 ROUTE 7 S
MIDDLEBURY, VT05753-8806
 Phone: 802-458-0488
 Fax: 802-458-0489
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Chiropractor

111N00000X 35 Chiropractic
Indicates primary specialty

NPI Profile & details for INTEGRATED MEDICINE: CHIROPRACTIC LLC

NPI Number 1114226743
LBN Legal business name INTEGRATED MEDICINE: CHIROPRACTIC LLC
Authorized official NICHOLAS CANNON - (OWNER/)
Entity Organization
Organization subpart 1 No
Enumeration date 03/22/2011
Last updated 03/22/2011 - About 15 years ago
Identifiers
VT License # 006-0001191
VT Medicaid 1015096
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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