- Practice location
- 321 Main St Ste B, Winooski, VT 05404-1380
- Phone
- 802-636-4133
- Fax
- 833-464-3117
- Last updated
- May 1, 2023
Sam Russo is a Naturopath based in Winooski, VT. Sam Russo practices in Winooski, VT and has the professional credentials of ND, LAC, RMSK. The NPI Number for Sam Russo is 1891828398 and holds a License No. 091-0000176 (VT). The current practice location address for Sam Russo is 321 Main St Ste B, Winooski, VT 05404-1380 and can be reached out via phone at 802-636-4133 and via fax at 833-464-3117.
Provider Profile Details
- NPI Number
- 1891828398
- Provider Name
- Sam Russo
- Credential
- ND, LAC, RMSK
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 321 Main St Ste B, Winooski, VT 05404-1380
- Phone Number
- 802-636-4133
- Fax Number
- 833-464-3117
- Primary Taxonomy
- Naturopath · 175F00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- March 13, 2007
- Last Update Date
- May 1, 2023
- Certification Date
- May 1, 2023
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 321 Main St Ste B
Winooski, VT 05404-1380 - City
- Winooski
- State
- Vermont
- Zip
- 05404-1380
- Phone Number
- 802-636-4133
- Fax Number
- 833-464-3117
Provider Business Mailing Address Details
- Address
- 321 Main St Ste B
Winooski, VT 05404-1380 - City
- Winooski
- State
- VT
- Zip
- 05404-1380
- Phone Number
- 802-636-4133
- Fax Number
- 833-464-3117
License Information
- License Number (1)
- 091-0000176
- License State (1)
- VT
- Taxonomy (1)
- Acupuncturist · 171100000X
- License Number (2)
- 099-0000131
- License State (2)
- VT
- Taxonomy (2)
- Preventive Medicine, Sports Medicine · 2083S0010X
- License Number (3)
- 099-0000131
- License State (3)
- VT
- Taxonomy (3)
- General Practice · 208D00000X
- License Number (4)
- 099-0000131
- License State (4)
- VT
- Taxonomy (4)
- Naturopath · 175F00000X · 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 Dr. Sam Russo, ND, LAC, RMSK?
The NPI number of Dr. Sam Russo, ND, LAC, RMSK is 1891828398. It was assigned on March 13, 2007 and is currently active in the NPPES registry.
What is the specialty of Dr. Sam Russo, ND, LAC, RMSK?
Dr. Sam Russo, ND, LAC, RMSK is registered under the primary taxonomy Naturopath (code 175F00000X), licensed in VT under license number 091-0000176.
Where does Dr. Sam Russo, ND, LAC, RMSK practice?
The practice location is 321 Main St Ste B, Winooski, VT 05404-1380. The office can be reached at 802-636-4133 (phone) or 833-464-3117 (fax).
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 1891828398 directly on the NPPES registry website.