Provider Demographics
NPI:1558432559
Name:TOWNSEND, MICHAEL HUGH (DC)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:HUGH
Last Name:TOWNSEND
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1480 WILLISTON RD
Mailing Address - Street 2:
Mailing Address - City:SOUTH BURLINGTON
Mailing Address - State:VT
Mailing Address - Zip Code:05403-6422
Mailing Address - Country:US
Mailing Address - Phone:802-657-3000
Mailing Address - Fax:802-657-3430
Practice Address - Street 1:1480 WILLISTON RD
Practice Address - Street 2:
Practice Address - City:SOUTH BURLINGTON
Practice Address - State:VT
Practice Address - Zip Code:05403-6422
Practice Address - Country:US
Practice Address - Phone:802-657-3000
Practice Address - Fax:802-657-3430
Is Sole Proprietor?:No
Enumeration Date:2006-11-13
Last Update Date:2008-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT006-0001091111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
VT1008309Medicaid
VT56760OtherCIGNA
VTVT1091OtherLANDMARK MVP
VT58354OtherBCBS
VT56760OtherCIGNA