Individual
DR. CARRIE SUE GRANDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
222 HOLIDAY DR, SUITE 22, WHITE RIVER JUNCTION, VT 05001-2043
(802) 295-9360
(802) 295-9360
Mailing address
76 COLONIAL DR, UNIT 5, WHITE RIVER JUNCTION, VT 05001-9325
(802) 295-5845
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
006-0001167
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00069591
BLUE CROSS BLUE SHIELD
VT
Enumeration date
12/13/2006
Last updated
07/08/2007
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