Healthcare Provider Details

I. General information

NPI: 1720376593
Provider Name (Legal Business Name): ARTHRITIS & RHEUMATOLOGY CENTER, PLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/14/2011
Last Update Date: 10/18/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

245 S PARK DR SUITE 5
COLCHESTER VT
05446-5972
US

IV. Provider business mailing address

PO BOX 536
WILLISTON VT
05495-0536
US

V. Phone/Fax

Practice location:
  • Phone: 802-654-3993
  • Fax: 802-654-0909
Mailing address:
  • Phone: 802-654-3993
  • Fax: 802-654-0909

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QM2500X
TaxonomyMedical Specialty Clinic/Center
License Number042-8093
License Number StateVT
# 2
Primary TaxonomyY
Taxonomy Code207RR0500X
TaxonomyRheumatology Physician
License Number042-8093
License Number StateVT

VIII. Authorized Official

Name: DR. KAREN NEPVEU
Title or Position: PHYSICIAN OWNER
Credential: M.D.
Phone: 802-654-3993