Organization
WINDSOR CHIROPRACTIC ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAY COOKE MCCLURE DC (OWNER)
(802) 674-5001
Entity
Organization
Contact information
Practice address
15 STATE ST, WINDSOR, VT 05089-1201
(802) 674-5001
(802) 674-5001
Mailing address
15 STATE ST, WINDSOR, VT 05089-1201
(802) 674-5001
(802) 674-5001
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
600.0001190
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1255404133
NPI
VT
Enumeration date
06/10/2010
Last updated
12/15/2010
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