Long Trail Podiatry PLLC
Clinic/Center, Podiatric in White River Junction, Vermont
1902025638- Practice location
- 2456 Christian St, Suite L2, White River Junction, VT 05001-9856
- Phone
- 802-359-4335
- Fax
- 802-359-4336
- Last updated
- June 10, 2010
Long Trail Podiatry PLLC is a healthcare organization based in White River Junction, VT. Long Trail Podiatry PLLC practices in White River Junction, VT. The NPI Number for Long Trail Podiatry PLLC is 1902025638 and holds a License No. L0018421 (VT). The current practice location address for Long Trail Podiatry PLLC is 2456 Christian St, Suite L2, White River Junction, VT 05001-9856 and can be reached out via phone at 802-359-4335 and via fax at 802-359-4336.
Provider Profile Details
- NPI Number
- 1902025638
- Provider Name
- Long Trail Podiatry PLLC
- Provider Entity Type
- Organization
- Address
- 2456 Christian St, Suite L2, White River Junction, VT 05001-9856
- Phone Number
- 802-359-4335
- Fax Number
- 802-359-4336
- Primary Taxonomy
- Clinic/Center, Podiatric · 261QP1100X
- Organization Subpart
- No
- Authorized Official
- Jeffrey R King, DPM · Co-Owner · 802-359-4335
- Provider Enumeration Date
- April 24, 2007
- Last Update Date
- June 10, 2010
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 2456 Christian St
Suite L2
White River Junction, VT 05001-9856 - State
- Vermont
- Zip
- 05001-9856
- Phone Number
- 802-359-4335
- Fax Number
- 802-359-4336
Provider Business Mailing Address Details
- Address
- 2456 Christian St
Suite L2
White River Junction, VT 05001-9856 - City
- White River Junction
- State
- VT
- Zip
- 05001-9856
- Phone Number
- 802-359-4335
- Fax Number
- 802-359-4336
License Information
- License Number
- L0018421
- License State
- VT
- Taxonomy
- Clinic/Center, Podiatric · 261QP1100X · 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 Long Trail Podiatry PLLC?
The NPI number of Long Trail Podiatry PLLC is 1902025638. It was assigned on April 24, 2007 and is currently active in the NPPES registry.
What is the specialty of Long Trail Podiatry PLLC?
Long Trail Podiatry PLLC is registered under the primary taxonomy Clinic/Center, Podiatric (code 261QP1100X), licensed in VT under license number L0018421.
Where does Long Trail Podiatry PLLC practice?
The practice location is 2456 Christian St, Suite L2, White River Junction, VT 05001-9856. The office can be reached at 802-359-4335 (phone) or 802-359-4336 (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 1902025638 directly on the NPPES registry website.