Provider Demographics
NPI:1306999248
Name:RSDC, P.C.
Entity type:Organization
Organization Name:RSDC, P.C.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RANDAL
Authorized Official - Middle Name:G
Authorized Official - Last Name:SCHAETZKE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:802-296-6030
Mailing Address - Street 1:PO BOX 628
Mailing Address - Street 2:
Mailing Address - City:QUECHEE
Mailing Address - State:VT
Mailing Address - Zip Code:05059-0628
Mailing Address - Country:US
Mailing Address - Phone:802-296-6030
Mailing Address - Fax:802-296-7048
Practice Address - Street 1:6985 WOODSTOCK RD
Practice Address - Street 2:
Practice Address - City:QUECHEE
Practice Address - State:VT
Practice Address - Zip Code:05059-0628
Practice Address - Country:US
Practice Address - Phone:802-296-6030
Practice Address - Fax:802-296-7048
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-22
Last Update Date:2014-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT954111NN1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NN1001XChiropractic ProvidersChiropractorNutritionGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VT1205871332Medicare UPIN