NPI 1215403068 · live from the CMS NPI Registry
Alison Chick, PA
Family Medicine in Waterbury, VT. National Provider Identifier 1215403068, active.
NPI record
| NPI | 1215403068 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Family Medicine 207Q00000X |
| Practice location | 130 S Main St, Waterbury, VT 05676 |
| Practice phone | 802-244-7874 |
| Mailing address | Po Box 783, Crested Butte, CO 81224 |
| Enumerated | October 19, 2018 |
| Last updated | September 10, 2020 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant | 363A00000X | — (CO) |
| Physician Assistant | 363A00000X | 055-0031470 (VT) |
| Family Medicine primary | 207Q00000X | 055-0031470 (VT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.