Healthcare Provider Details

I. General information

NPI: 1851722417
Provider Name (Legal Business Name): CLEARCHOICEMD, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/09/2013
Last Update Date: 10/07/2022
Certification Date: 10/04/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

798 ROUTE 302
BERLIN VT
05641-2305
US

IV. Provider business mailing address

10 FERRY ST STE 302
CONCORD NH
03301-5081
US

V. Phone/Fax

Practice location:
  • Phone: 802-744-0138
  • Fax: 802-622-0836
Mailing address:
  • Phone: 603-526-4635
  • Fax: 603-526-8283

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. MARCUS J HAMPERS
Title or Position: CHIEF EXECUTIVE OFFICER
Credential: M.D.
Phone: 603-526-4635