Provider Demographics
NPI:1336310002
Name:EHRICH-MEYER, JEANNETTE (DC)
Entity Type:Individual
Prefix:DR
First Name:JEANNETTE
Middle Name:
Last Name:EHRICH-MEYER
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:136 MAIN ST
Mailing Address - Street 2:CARRIAGE HOUSE
Mailing Address - City:MONTPELIER
Mailing Address - State:VT
Mailing Address - Zip Code:05602-3183
Mailing Address - Country:US
Mailing Address - Phone:802-262-6097
Mailing Address - Fax:802-262-6098
Practice Address - Street 1:136 MAIN ST
Practice Address - Street 2:CARRIAGE HOUSE
Practice Address - City:MONTPELIER
Practice Address - State:VT
Practice Address - Zip Code:05602-3183
Practice Address - Country:US
Practice Address - Phone:802-262-6097
Practice Address - Fax:802-262-6098
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-20
Last Update Date:2016-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT0060001198111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
VT1018498Medicaid