Healthcare Provider Details

I. General information

NPI: 1134268550
Provider Name (Legal Business Name): ELIZABETH ANNE SCHEUERMAN L.AC.,L.H.,DIPL.OM
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/05/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10 MARSETT RD SUITE 4
SHELBURNE VT
05482-6640
US

IV. Provider business mailing address

3589 MT PHILO RD
CHARLOTTE VT
05445-9368
US

V. Phone/Fax

Practice location:
  • Phone: 802-985-0718
  • Fax:
Mailing address:
  • Phone: 802-425-5554
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number0910000069
License Number StateVT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: