Healthcare Provider Details

I. General information

NPI: 1780700609
Provider Name (Legal Business Name): JAMES RIZZO DC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/22/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

160 WALL STREET
SPRINGFIELD VT
05156
US

IV. Provider business mailing address

160 WALL STREET
SPRINGFIELD VT
05156
US

V. Phone/Fax

Practice location:
  • Phone: 802-885-1600
  • Fax: 802-885-1600
Mailing address:
  • Phone: 802-885-1600
  • Fax: 802-885-1600

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111NN1001X
TaxonomyNutrition Chiropractor
License Number006-0000971
License Number StateVT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: