MEDICARE: DR. SARAH RUTH PAQUETTE D.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	006.0060786	VT

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1700111242
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SARAH RUTH PAQUETTE D.C.

Provider Business Mailing Address
First Line	:	11 WOODLAND DR
Second Line	:
City	:	UNDERHILL
State	:	VT
Zip	:	05489-9220
Country	:	US
Telephone Number	:	802-662-3592
Fax Number	:	802-332-3099

Provider Business Practice Location Address
First Line	:	1151 W MAIN ST
Second Line	:
City	:	RICHMOND
State	:	VT
Zip	:	05477-4472
Country	:	US
Telephone Number	:	802-662-3592
Fax Number	:	802-332-3099

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/15/2009
Last Update Date	:	11/23/2018

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