Provider Demographics
NPI:1598881989
Name:CHOLLET, REBECCA (ND)
Entity Type:Individual
Prefix:DR
First Name:REBECCA
Middle Name:
Last Name:CHOLLET
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2456 CHRISTIAN ST
Mailing Address - Street 2:SUITE 102
Mailing Address - City:WHITE RIVER JUNCTION
Mailing Address - State:VT
Mailing Address - Zip Code:05001-9856
Mailing Address - Country:US
Mailing Address - Phone:802-281-6989
Mailing Address - Fax:802-281-6988
Practice Address - Street 1:2456 CHRISTIAN ST
Practice Address - Street 2:SUITE 102
Practice Address - City:WHITE RIVER JUNCTION
Practice Address - State:VT
Practice Address - Zip Code:05001-9856
Practice Address - Country:US
Practice Address - Phone:802-281-6989
Practice Address - Fax:802-281-6988
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-21
Last Update Date:2017-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT099-0000162175F00000X
NH44175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath
Provider Identifiers
StateIdentifier IDID TypeIssuer
VT1015132Medicaid