Healthcare Provider Details

I. General information

NPI: 1467874206
Provider Name (Legal Business Name): ALEX J HOLDING NHCM, LM
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/14/2014
Last Update Date: 10/28/2025
Certification Date: 10/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

126 WEST ST
DUMMERSTON VT
05301
US

IV. Provider business mailing address

126 WEST ST
DUMMERSTON VT
05301
US

V. Phone/Fax

Practice location:
  • Phone: 603-547-0400
  • Fax: 888-977-2022
Mailing address:
  • Phone: 603-547-0400
  • Fax: 888-977-2022

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code176B00000X
TaxonomyMidwife
License Number1049
License Number StateNH

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: