Provider Demographics
NPI:1184809675
Name:SINCLAIR, MARC WILLIAM (DC)
Entity type:Individual
Prefix:
First Name:MARC
Middle Name:WILLIAM
Last Name:SINCLAIR
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 926
Mailing Address - Street 2:
Mailing Address - City:BRADFORD
Mailing Address - State:VT
Mailing Address - Zip Code:05033-0926
Mailing Address - Country:US
Mailing Address - Phone:802-222-5383
Mailing Address - Fax:802-222-4230
Practice Address - Street 1:183 NORTH MAIN ST.
Practice Address - Street 2:
Practice Address - City:BRADFORD
Practice Address - State:VT
Practice Address - Zip Code:05033-0926
Practice Address - Country:US
Practice Address - Phone:802-222-5383
Practice Address - Fax:802-222-4230
Is Sole Proprietor?:No
Enumeration Date:2008-01-03
Last Update Date:2023-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT006-0000866111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
VTVN0057Medicare PIN
VTU13610Medicare UPIN