Individual
MRS. ESTHER BARBARA MOERTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DOM,LAC,DIPL.CH
Contact information
Practice address
974 WESTERN AVE, BRATTLEBORO, VT 05301-5114
(413) 313-7290
Mailing address
PO BOX 901, WENDELL, MA 01379-0901
(413) 313-7290
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
731
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
201044209
PRESBYTHERIAN PROVIDER ID
NM
01
—
900179757
TAX ID
NM
01
—
NM024G04
BLUE CROSS BLUE SHIELD ID
NM
Enumeration date
02/05/2007
Last updated
02/25/2020
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