Provider Demographics
NPI:1356590889
Name:VOSE, ERIK STEPHEN (DC)
Entity type:Individual
Prefix:DR
First Name:ERIK
Middle Name:STEPHEN
Last Name:VOSE
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 1:134 MASON HILL SOUTH
Mailing Address - Street 2:
Mailing Address - City:STARKSBORO
Mailing Address - State:VT
Mailing Address - Zip Code:05487-7229
Mailing Address - Country:US
Mailing Address - Phone:617-694-5256
Mailing Address - Fax:
Practice Address - Street 1:1330 EXCHANGE ST
Practice Address - Street 2:SUITE 105
Practice Address - City:MIDDLEBURY
Practice Address - State:VT
Practice Address - Zip Code:05753-4464
Practice Address - Country:US
Practice Address - Phone:617-694-5256
Practice Address - Fax:802-388-0917
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-09
Last Update Date:2015-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT006.0089940111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor