| Randolph Chiropractic Associates Llc | |
|
26 N Main St Ste 4, Randolph, VT 05060-1239 | |
| (802) 728-5159 | |
| Not Available |
| Full Name | Randolph Chiropractic Associates Llc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 26 N Main St Ste 4, Randolph, Vermont |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700282662 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | (* (Not Available)) | Primary |
| Provider Name | Charles L Foster |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1922187897 PECOS PAC ID: 6709984081 Enrollment ID: I20070611000259 |
| Provider Name | Taryn Lee Mason |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1598161242 PECOS PAC ID: 5991021446 Enrollment ID: I20150228000165 |
| Provider Name | Parker Hack |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1366116428 PECOS PAC ID: 5597155481 Enrollment ID: I20211208002158 |
| Mailing Address | Practice Location Address |
|---|---|
| Randolph Chiropractic Associates Llc 26 N Main St, P.o. Box 66, Randolph, VT 05060-1239 Ph: () - | Randolph Chiropractic Associates Llc 26 N Main St Ste 4, Randolph, VT 05060-1239 Ph: (802) 728-5159 |
Dr. Shawn James Mcdermott, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 86 Dylan Dr, Suite 1, Randolph, VT 05060 Phone: 802-728-5159 Fax: 802-728-5199 | |
Taryn L Mason, Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 26 N Main St Ste 4, Randolph, VT 05060 Phone: 802-728-5159 | |
Chiropractic Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 44 S Main St, Randolph, VT 05060 Phone: 802-728-7000 Fax: 802-728-2394 |