Healthcare Provider Details

I. General information

NPI: 1851176770
Provider Name (Legal Business Name): HARDWICK CHIROPRACTIC AND HYPERBARIC CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/29/2023
Last Update Date: 08/29/2023
Certification Date: 08/28/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

54 SCHOOL CIR
EAST HARDWICK VT
05836-9616
US

IV. Provider business mailing address

54 SCHOOL CIR
EAST HARDWICK VT
05836-9616
US

V. Phone/Fax

Practice location:
  • Phone: 802-472-3033
  • Fax: 802-472-3022
Mailing address:
  • Phone: 802-472-3033
  • Fax: 802-472-3022

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State

VIII. Authorized Official

Name: SARA CRANDALL
Title or Position: PRESIDENT/CHIROPRACTOR
Credential: DC
Phone: 937-205-1756