MEDICARE: SYNERGIC HEALTH, LLC

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	006.0001157	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	:	1770958662
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SYNERGIC HEALTH, LLC

Provider Business Mailing Address
First Line	:	1151 W MAIN ST
Second Line	:
City	:	RICHMOND
State	:	VT
Zip	:	05477-4472
Country	:	US
Telephone Number	:	802-434-5437
Fax Number	:	802-329-2163

Provider Business Practice Location Address
First Line	:	1151 W MAIN ST
Second Line	:
City	:	RICHMOND
State	:	VT
Zip	:	05477-4472
Country	:	US
Telephone Number	:	802-434-5437
Fax Number	:	802-329-2163

Authorized Official
Title or Position	:	OWNER
Name	:	DR. ERIN JOAN SEPIC
Credential	:	D.C.
Telephone Number	:	802-434-5437

Provider Enumeration Date	:	12/03/2015
Last Update Date	:	12/03/2015

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Directions to “SYNERGIC HEALTH, LLC ” Practice Location

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