Provider Demographics
NPI:1700111242
Name:PAQUETTE, SARAH RUTH (DC)
Entity Type:Individual
Prefix:DR
First Name:SARAH
Middle Name:RUTH
Last Name:PAQUETTE
Suffix:
Gender:F
Credentials:DC
Other - Prefix:MISS
Other - First Name:SARAH
Other - Middle Name:RUTH
Other - Last Name:GIRRELL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:11 WOODLAND DR
Mailing Address - Street 2:
Mailing Address - City:UNDERHILL
Mailing Address - State:VT
Mailing Address - Zip Code:05489-9220
Mailing Address - Country:US
Mailing Address - Phone:802-662-3592
Mailing Address - Fax:802-332-3099
Practice Address - Street 1:1151 W MAIN ST
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VT
Practice Address - Zip Code:05477-4472
Practice Address - Country:US
Practice Address - Phone:802-662-3592
Practice Address - Fax:802-332-3099
Is Sole Proprietor?:No
Enumeration Date:2009-10-15
Last Update Date:2018-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT006.0060786111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
VT1017863Medicaid
VT001544703Medicare PIN