Provider Demographics
NPI:1790961498
Name:PATRICIA J. SCHRICKER, DC, PC
Entity Type:Organization
Organization Name:PATRICIA J. SCHRICKER, DC, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:JEAN
Authorized Official - Last Name:SCHRICKER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:802-888-7979
Mailing Address - Street 1:PO BOX 949
Mailing Address - Street 2:
Mailing Address - City:MORRISVILLE
Mailing Address - State:VT
Mailing Address - Zip Code:05661-0949
Mailing Address - Country:US
Mailing Address - Phone:802-888-7979
Mailing Address - Fax:802-888-7979
Practice Address - Street 1:31 LOWER MAIN STREET
Practice Address - Street 2:SUITE 3
Practice Address - City:MORRISVILLE
Practice Address - State:VT
Practice Address - Zip Code:05661-0949
Practice Address - Country:US
Practice Address - Phone:802-888-7979
Practice Address - Fax:802-888-7979
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-14
Last Update Date:2008-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT006-0000768111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VTVT2542Medicare PIN