MEDICARE: COMPASS CHIROPRACTIC LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor

General Provider Information

NPI Number	:	1881163723
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COMPASS CHIROPRACTIC LLC

Provider Business Mailing Address
First Line	:	11 WOODLAND DR
Second Line	:
City	:	UNDERHILL
State	:	VT
Zip	:	05489-9220
Country	:	US
Telephone Number	:	802-662-3592
Fax Number	:	802-332-3099

Provider Business Practice Location Address
First Line	:	1151 W MAIN ST
Second Line	:
City	:	RICHMOND
State	:	VT
Zip	:	05477-4472
Country	:	US
Telephone Number	:	802-662-3592
Fax Number	:	802-332-3099

Authorized Official
Title or Position	:	OWNER, DOCTOR
Name	:	DR. SARAH PAQUETTE
Credential	:	DC
Telephone Number	:	802-662-3592

Provider Enumeration Date	:	11/21/2018
Last Update Date	:	11/21/2018

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