Provider Demographics
NPI:1831321017
Name:VERMONT INTEGRATIVE MEDICINE
Entity Type:Organization
Organization Name:VERMONT INTEGRATIVE MEDICINE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:DONNA
Authorized Official - Middle Name:BETH
Authorized Official - Last Name:CAPLAN
Authorized Official - Suffix:
Authorized Official - Credentials:ND
Authorized Official - Phone:802-229-2635
Mailing Address - Street 1:172 BERLIN ST
Mailing Address - Street 2:
Mailing Address - City:MONTPELIER
Mailing Address - State:VT
Mailing Address - Zip Code:05602-3566
Mailing Address - Country:US
Mailing Address - Phone:802-229-2635
Mailing Address - Fax:802-229-1999
Practice Address - Street 1:172 BERLIN ST
Practice Address - Street 2:
Practice Address - City:MONTPELIER
Practice Address - State:VT
Practice Address - Zip Code:05602-3566
Practice Address - Country:US
Practice Address - Phone:802-229-2635
Practice Address - Fax:802-229-1999
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-08-20
Last Update Date:2009-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT0990000006175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes175F00000XOther Service ProvidersNaturopathGroup - Multi-Specialty