Provider Demographics
NPI:1811205503
Name:JMS, PLC
Entity Type:Organization
Organization Name:JMS, PLC
Other - Org Name:VERMONT NATUROPATHIC CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:STADTMAUER
Authorized Official - Suffix:
Authorized Official - Credentials:ND
Authorized Official - Phone:802-448-3388
Mailing Address - Street 1:41 IDX DR STE 220
Mailing Address - Street 2:
Mailing Address - City:SOUTH BURLINGTON
Mailing Address - State:VT
Mailing Address - Zip Code:05403-7781
Mailing Address - Country:US
Mailing Address - Phone:802-448-3388
Mailing Address - Fax:802-448-3387
Practice Address - Street 1:41 IDX DR STE 220
Practice Address - Street 2:
Practice Address - City:SOUTH BURLINGTON
Practice Address - State:VT
Practice Address - Zip Code:05403-7781
Practice Address - Country:US
Practice Address - Phone:802-448-3388
Practice Address - Fax:802-448-3387
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-16
Last Update Date:2016-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT0910000176171100000X
VT0990000131175F00000X, 2083S0010X, 208D00000X, 208VP0014X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain MedicineGroup - Multi-Specialty
No171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty
Yes175F00000XOther Service ProvidersNaturopathGroup - Multi-Specialty
No2083S0010XAllopathic & Osteopathic PhysiciansPreventive MedicineSports MedicineGroup - Multi-Specialty
No208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VT1015129Medicaid