Provider Demographics
NPI:1720768948
Name:DOCTOR ANNE, PLC
Entity Type:Organization
Organization Name:DOCTOR ANNE, PLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ANNE
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:VAN COUVERING
Authorized Official - Suffix:
Authorized Official - Credentials:ND
Authorized Official - Phone:917-653-7406
Mailing Address - Street 1:87 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:PLAINFIELD
Mailing Address - State:VT
Mailing Address - Zip Code:05667-9589
Mailing Address - Country:US
Mailing Address - Phone:917-653-7406
Mailing Address - Fax:802-216-0400
Practice Address - Street 1:174 ELM ST
Practice Address - Street 2:
Practice Address - City:MONTPELIER
Practice Address - State:VT
Practice Address - Zip Code:05602-2262
Practice Address - Country:US
Practice Address - Phone:802-451-0505
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-21
Last Update Date:2023-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes175F00000XOther Service ProvidersNaturopathGroup - Single Specialty