| Biologic Integrative Healthcare Llc | |
|
205 Main St Suite 4 Brattleboro VT 05301-2867 | |
| (802) 275-4732 | |
| Not Available |
| Full Name | Biologic Integrative Healthcare Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 205 Main St, Brattleboro, Vermont |
| Authorized Official Name and Position | Samantha K Eagle (SOLE MEMBER/OWNER) |
| Authorized Official Contact | 8022754732 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Biologic Integrative Healthcare Llc 205 Main St Suite 4 Brattleboro VT 05301-2867 Ph: (802) 275-4732 | Biologic Integrative Healthcare Llc 205 Main St Suite 4 Brattleboro VT 05301-2867 Ph: (802) 275-4732 |
| NPI Number | 1447414065 |
|---|---|
| Provider Enumeration Date | 07/13/2008 |
| Last Update Date | 07/13/2008 |
| Medicare PECOS PAC ID | 3274794755 |
|---|---|
| Medicare Enrollment ID | O20120410000131 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447414065 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | Lorraine K Kane |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1770684086 PECOS PAC ID: 9537126180 Enrollment ID: I20041215000191 |
| Provider Name | Jessica Biggie |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689649584 PECOS PAC ID: 2668417882 Enrollment ID: I20190411000209 |
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