Provider Demographics
NPI:1407916315
Name:HARDWICK CHIROPRACTIC INC.
Entity type:Organization
Organization Name:HARDWICK CHIROPRACTIC INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MORGAN
Authorized Official - Middle Name:S
Authorized Official - Last Name:BURKE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:802-472-3033
Mailing Address - Street 1:54 SCHOOL CIR
Mailing Address - Street 2:
Mailing Address - City:EAST HARDWICK
Mailing Address - State:VT
Mailing Address - Zip Code:05836-9616
Mailing Address - Country:US
Mailing Address - Phone:802-472-3033
Mailing Address - Fax:802-472-3022
Practice Address - Street 1:54 SCHOOL CIR
Practice Address - Street 2:
Practice Address - City:EAST HARDWICK
Practice Address - State:VT
Practice Address - Zip Code:05836-9616
Practice Address - Country:US
Practice Address - Phone:802-472-3033
Practice Address - Fax:802-472-3022
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-11
Last Update Date:2021-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
No207PE0005XAllopathic & Osteopathic PhysiciansEmergency MedicineUndersea and Hyperbaric MedicineGroup - Multi-Specialty
No2083P0011XAllopathic & Osteopathic PhysiciansPreventive MedicineUndersea and Hyperbaric MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VT59330OtherBCBS
VTVN3170Medicare PIN