Organization
BIOLOGIC INTEGRATIVE HEALTHCARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMANTHA K EAGLE (SOLE MEMBER/OWNER)
(802) 275-4732
Entity
Organization
Contact information
Practice address
205 MAIN ST, SUITE 4, BRATTLEBORO, VT 05301-2867
(802) 275-4732
Mailing address
205 MAIN ST, SUITE 4, BRATTLEBORO, VT 05301-2867
(802) 275-4732
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
07/13/2008
Last updated
07/13/2008
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