Provider Demographics
NPI:1053856278
Name:SAGE NATUROPATHIC HEALTH LLC
Entity Type:Organization
Organization Name:SAGE NATUROPATHIC HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:STEPHANIE
Authorized Official - Middle Name:
Authorized Official - Last Name:WAWRZYNIAK
Authorized Official - Suffix:
Authorized Official - Credentials:ND
Authorized Official - Phone:802-461-7138
Mailing Address - Street 1:301 RIVER ST
Mailing Address - Street 2:SUITE 201
Mailing Address - City:MONTPELIER
Mailing Address - State:VT
Mailing Address - Zip Code:05602-4303
Mailing Address - Country:US
Mailing Address - Phone:802-461-7238
Mailing Address - Fax:
Practice Address - Street 1:301 RIVER ST
Practice Address - Street 2:SUITE 201
Practice Address - City:MONTPELIER
Practice Address - State:VT
Practice Address - Zip Code:05602-4303
Practice Address - Country:US
Practice Address - Phone:802-461-7238
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-12-24
Last Update Date:2016-12-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT0990107503261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center