Provider Demographics
NPI:1568134484
Name:VERMONT WELLNESS MEDICINE AND INTEGRATIVE ONCOLOGY
Entity Type:Organization
Organization Name:VERMONT WELLNESS MEDICINE AND INTEGRATIVE ONCOLOGY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:AMY
Authorized Official - Middle Name:VOISHAN
Authorized Official - Last Name:LITTLEFIELD
Authorized Official - Suffix:
Authorized Official - Credentials:ND LAC
Authorized Official - Phone:802-989-7882
Mailing Address - Street 1:PO BOX 352
Mailing Address - Street 2:
Mailing Address - City:EAST MIDDLEBURY
Mailing Address - State:VT
Mailing Address - Zip Code:05740-0352
Mailing Address - Country:US
Mailing Address - Phone:802-989-7882
Mailing Address - Fax:
Practice Address - Street 1:228 MAPLE ST STE 31A
Practice Address - Street 2:
Practice Address - City:MIDDLEBURY
Practice Address - State:VT
Practice Address - Zip Code:05753-1605
Practice Address - Country:US
Practice Address - Phone:802-989-7882
Practice Address - Fax:802-989-7881
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-29
Last Update Date:2021-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes175F00000XOther Service ProvidersNaturopathGroup - Multi-Specialty