- Practice location
- 4 Summer St, Randolph, VT 05060-1175
- Phone
- 802-246-7750
- Fax
- —
- Last updated
- April 20, 2015
Jennifer Etheridge is an Acupuncturist based in Randolph, VT. Jennifer Etheridge practices in Randolph, VT and has the professional credentials of LAC. The NPI Number for Jennifer Etheridge is 1417344250 and holds a License No. 091.0098544 (VT). The current practice location address for Jennifer Etheridge is 4 Summer St, Randolph, VT 05060-1175 and can be reached out via phone at 802-246-7750.
Provider Profile Details
- NPI Number
- 1417344250
- Provider Name
- Jennifer Etheridge
- Credential
- LAC
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 4 Summer St, Randolph, VT 05060-1175
- Phone Number
- 802-246-7750
- Primary Taxonomy
- Acupuncturist · 171100000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- April 20, 2015
- Last Update Date
- April 20, 2015
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 4 Summer St
Randolph, VT 05060-1175 - City
- Randolph
- State
- Vermont
- Zip
- 05060-1175
- Phone Number
- 802-246-7750
Provider Business Mailing Address Details
- Address
- 17 Summer St
Randolph, VT 05060-1162 - City
- Randolph
- State
- VT
- Zip
- 05060-1162
- Phone Number
- 802-246-7750
License Information
- License Number
- 091.0098544
- License State
- VT
- Taxonomy
- Acupuncturist · 171100000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Jennifer Etheridge, LAC?
The NPI number of Jennifer Etheridge, LAC is 1417344250. It was assigned on April 20, 2015 and is currently active in the NPPES registry.
What is the specialty of Jennifer Etheridge, LAC?
Jennifer Etheridge, LAC is registered under the primary taxonomy Acupuncturist (code 171100000X), licensed in VT under license number 091.0098544.
Where does Jennifer Etheridge, LAC practice?
The practice location is 4 Summer St, Randolph, VT 05060-1175. The office can be reached at 802-246-7750 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1417344250 directly on the NPPES registry website.