NPI 1245554575 · live from the CMS NPI Registry
Blue Collar Medicine
Physician Assistant, Medical in Barre, VT. National Provider Identifier 1245554575, active.
NPI record
| NPI | 1245554575 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Physician Assistant, Medical 363AM0700X |
| Practice location | 36 Willey St, Barre, VT 05641 |
| Practice phone | 802-522-1327 |
| Mailing address | Po Box 591, Barre, VT 05641 |
| Enumerated | March 15, 2010 |
| Last updated | March 15, 2010 |
| Authorized official | Christopher Malone, Chief Operating Officer |
| Other names | Medical Provider Solutions |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant, Medical primary | 363AM0700X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.