- Practice location
- 11 N Main St, Randolph, VT 05060-1126
- Phone
- 802-728-4466
- Fax
- 802-728-4197
- Last updated
- February 23, 2024
Michael Dietrich Fetter is a Community Health Worker based in Randolph, VT. Michael Dietrich Fetter practices in Randolph, VT and has the professional credentials of MS. The NPI Number for Michael Dietrich Fetter is 1972369387. The current practice location address for Michael Dietrich Fetter is 11 N Main St, Randolph, VT 05060-1126 and can be reached out via phone at 802-728-4466 and via fax at 802-728-4197.
Provider Profile Details
- NPI Number
- 1972369387
- Provider Name
- Michael Dietrich Fetter
- Credential
- MS
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 11 N Main St, Randolph, VT 05060-1126
- Phone Number
- 802-728-4466
- Fax Number
- 802-728-4197
- Primary Taxonomy
- Community Health Worker · 172V00000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- February 23, 2024
- Last Update Date
- February 23, 2024
- Certification Date
- February 21, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 11 N Main St
Randolph, VT 05060-1126 - City
- Randolph
- State
- Vermont
- Zip
- 05060-1126
- Phone Number
- 802-728-4466
- Fax Number
- 802-728-4197
Provider Business Mailing Address Details
- Address
- 6 Cambridgeville Dr Unit 4
Enfield, NH 03748-3160 - City
- Enfield
- State
- NH
- Zip
- 03748-3160
- Phone Number
- 603-345-6578
License Information
- Taxonomy
- Community Health Worker · 172V00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Community Health Workers near Randolph, VT
View all Community Health Workers in Randolph →- Ariel ColsonCommunity Health Worker · NPI 1598552952
- Carissa Lasure, AACommunity Health Worker · NPI 1598522039
- Charles King, BSCommunity Health Worker · NPI 1770371007
- Deena Feinberg, BACommunity Health Worker · NPI 1992593248
- Devin Lenfest, BSCommunity Health Worker · NPI 1346126224
- Eileen Chanin, BSCommunity Health Worker · NPI 1528970845
Frequently Asked Questions
What is the NPI number of Michael D Fetter, MS?
The NPI number of Michael D Fetter, MS is 1972369387. It was assigned on February 23, 2024 and is currently active in the NPPES registry.
What is the specialty of Michael D Fetter, MS?
Michael D Fetter, MS is registered under the primary taxonomy Community Health Worker (code 172V00000X).
Where does Michael D Fetter, MS practice?
The practice location is 11 N Main St, Randolph, VT 05060-1126. The office can be reached at 802-728-4466 (phone) or 802-728-4197 (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 1972369387 directly on the NPPES registry website.