Provider Demographics
NPI:1376191114
Name:RUTLAND NATUROPATHIC, PLLC
Entity Type:Organization
Organization Name:RUTLAND NATUROPATHIC, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NATUROPATHIC PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:GREGORY
Authorized Official - Middle Name:JOHN
Authorized Official - Last Name:BURKLAND
Authorized Official - Suffix:
Authorized Official - Credentials:ND
Authorized Official - Phone:802-772-7117
Mailing Address - Street 1:69 ALLEN ST STE 4
Mailing Address - Street 2:
Mailing Address - City:RUTLAND
Mailing Address - State:VT
Mailing Address - Zip Code:05701-4564
Mailing Address - Country:US
Mailing Address - Phone:802-772-7117
Mailing Address - Fax:802-488-5716
Practice Address - Street 1:69 ALLEN ST STE 4
Practice Address - Street 2:
Practice Address - City:RUTLAND
Practice Address - State:VT
Practice Address - Zip Code:05701-4564
Practice Address - Country:US
Practice Address - Phone:802-772-7117
Practice Address - Fax:802-488-5716
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-08-26
Last Update Date:2023-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes175F00000XOther Service ProvidersNaturopathGroup - Single Specialty