Provider Demographics
NPI:1619276938
Name:RESONANT MEDICINE
Entity Type:Organization
Organization Name:RESONANT MEDICINE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:E
Authorized Official - Last Name:HOLLIS
Authorized Official - Suffix:
Authorized Official - Credentials:ND
Authorized Official - Phone:802-728-9600
Mailing Address - Street 1:43 S MAIN ST
Mailing Address - Street 2:SUITE 2
Mailing Address - City:RANDOLPH
Mailing Address - State:VT
Mailing Address - Zip Code:05060-1363
Mailing Address - Country:US
Mailing Address - Phone:802-728-9600
Mailing Address - Fax:888-283-8349
Practice Address - Street 1:43 S MAIN ST
Practice Address - Street 2:SUITE 2
Practice Address - City:RANDOLPH
Practice Address - State:VT
Practice Address - Zip Code:05060-1363
Practice Address - Country:US
Practice Address - Phone:802-728-9600
Practice Address - Fax:888-283-8349
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-25
Last Update Date:2011-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes175F00000XOther Service ProvidersNaturopathGroup - Single Specialty