Provider Demographics
NPI:1720258064
Name:CHAMPLAIN CENTER FOR NATURAL MEDICINE
Entity type:Organization
Organization Name:CHAMPLAIN CENTER FOR NATURAL MEDICINE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:EARL
Authorized Official - Last Name:WARNOCK
Authorized Official - Suffix:
Authorized Official - Credentials:ND
Authorized Official - Phone:802-985-8250
Mailing Address - Street 1:3804 SHELBURNE RD
Mailing Address - Street 2:
Mailing Address - City:SHELBURNE
Mailing Address - State:VT
Mailing Address - Zip Code:05482-6690
Mailing Address - Country:US
Mailing Address - Phone:802-985-8250
Mailing Address - Fax:802-985-3401
Practice Address - Street 1:3804 SHELBURNE RD
Practice Address - Street 2:
Practice Address - City:SHELBURNE
Practice Address - State:VT
Practice Address - Zip Code:05482-6690
Practice Address - Country:US
Practice Address - Phone:802-985-8250
Practice Address - Fax:802-985-3401
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-03
Last Update Date:2008-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes175F00000XOther Service ProvidersNaturopathGroup - Single Specialty