Provider Demographics
NPI:1295071637
Name:WELCH, VICTORIA LEIGH (DC)
Entity type:Individual
Prefix:DR
First Name:VICTORIA
Middle Name:LEIGH
Last Name:WELCH
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20 LINCOLN ST
Mailing Address - Street 2:
Mailing Address - City:ESSEX JUNCTION
Mailing Address - State:VT
Mailing Address - Zip Code:05452-3154
Mailing Address - Country:US
Mailing Address - Phone:802-879-3900
Mailing Address - Fax:802-879-3511
Practice Address - Street 1:20 LINCOLN ST
Practice Address - Street 2:
Practice Address - City:ESSEX JUNCTION
Practice Address - State:VT
Practice Address - Zip Code:05452-3154
Practice Address - Country:US
Practice Address - Phone:802-879-3900
Practice Address - Fax:802-879-3511
Is Sole Proprietor?:No
Enumeration Date:2012-12-12
Last Update Date:2012-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT006.0091335111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor