VERMONT BACK AND BODY CARE, LLC (NPI# 1548687502) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548687502 |
| Entity Type | Organization |
| Organization Name | VERMONT BACK AND BODY CARE, LLC |
| Practice Address |
338 River St Suite #8 Montpelier VT 05602-8242 |
| Practice Telephone | 8022258958 |
| Practice Fax Number | 8022258969 |
| Mailing Telephone | 8022258958 |
| Mailing Fax Number | 8022258969 |
| Enumeration Date | 2014-03-27 |
| Last Update Date | 2017-03-07 |
| Authorized Official Name | DR. HEATHER LANE CONNOLLY (OWNER) |
| Authorized Official Telephone | 8022258958 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 006.0001133 | VT | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VT | 0VN3297 | 05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Vermont Business Registrations | VERMONT BACK AND BODY CARE, LLC | 338 River St, Suite 8, Montpelier, VT 05602 |
| Street Address |
338 RIVER ST SUITE #8 |
| City | MONTPELIER |
| State | VT |
| Zip Code | 05602-8242 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619996477 | Heather Lane Connolly | Chiropractor | 338 River St, Suite 8, Montpelier, VT 05602-8242 | 2006-07-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306476981 | Morgan Lamson | Nurse Practitioner | Central Vermont Medical Center, 130 Fisher Road, Berlin, VT 05602 | 2020-01-22 |
| 1265086037 | Abbey Lynne Rouleau | Nurse Practitioner | Cvmc Palliative Care, 130 Fisher Road 2nd Floor, Berlin, VT 05602 | 2019-07-30 |
| 1295229896 | Julia Chafets | Social Worker | 132 Main St Ste 2, Montpelier, VT 05602 | 2018-06-18 |
| 1528599297 | Irene Chamberlain | Physician Assistant | 1311 Barre-montpelier Road, Suite 200, Cvmc Expresscare, Berlin, VT 05602 | 2017-03-24 |
| 1528506508 | Caitlin Roberts | Specialist/Technologist | 930 Gallison Hill Rd, U32 Middle and High School, Montpelier, VT 05602 | 2017-02-09 |
| 1417493297 | Sayed Shahabodin Khatounabadi | Pharmacist | 29-31 Main St, Montpelier, VT 05602 | 2017-01-17 |
| 1972052660 | Frangis Aliakbarkhani | Pharmacist | 29-31 Main St., Montpelier, VT 05602 | 2016-09-23 |
| 1144676610 | Shippee Family Eye Care PC | Optometrist | 15 East State St, Montpelier, VT 05602 | 2016-05-13 |
| 1326457060 | Elizabeth Afanasyev | Physician Assistant | 1311 Barre-montpelier Road Suite 200, Berlin, VT 05602 | 2014-08-06 |
| 1790193985 | Jennifer Sanborn | Counselor | 246 Granger Rd., Suite 2, Berlin, VT 05602 | 2014-07-31 |
| Find all providers in zip 05602 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013121235 | Ronald K Wisdom | Chiropractor | 155 Elm St, Montpelier, VT 05602-4467 | 2007-05-09 |
| 1639382260 | Pamela C. Milosevich | Chiropractor | 5 Allen Row, Montpelier, VT 05602-3753 | 2007-05-08 |
| 1427112234 | Joshua M Schlade | Chiropractor | 1225 E Main St, Montpelier, OH 43543-1247 | 2006-12-19 |
| 1619996477 | Heather Lane Connolly | Chiropractor | 338 River St, Suite 8, Montpelier, VT 05602-8242 | 2006-07-19 |
| 1174562466 | James Chester Wallace | Chiropractor | 110 N Jonesville St, Montpelier, OH 43543-1006 | 2006-06-05 |
| 1730127143 | Theresa M Neiss | Chiropractor | 16603 Mountain Rd, Montpelier, VA 23192-2660 | 2006-06-04 |
| 1982252227 | Clear Path Clinic LLC | Chiropractor | 147 State St, Montpelier, VT 05602-3301 | 2019-08-29 |
| 1477043479 | Christina Andrle | Chiropractor | 147 State St, Montpelier, VT 05602 | 2018-05-15 |
| 1366943185 | Central Vermont Chiropractic | Chiropractor | 81 River St, Montpelier, VT 05602 | 2018-02-27 |
| 1679995054 | Brooke Haslam Calhoun | Chiropractor | 81 River St, Montpelier, VT 05602 | 2014-01-20 |
| Find all providers in MONTPELIER | ||||
| City | MONTPELIER |
| Zip Code | 05602 |
Please comment or provide details below to improve the information on VERMONT BACK AND BODY CARE, LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.