Individual
DR. SUZANNE M HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
41 IDX DR, STE 235, SOUTH BURLINGTON, VT 05403-7773
(802) 863-5828
(802) 863-9619
Mailing address
41 IDX DR, STE 235, SOUTH BURLINGTON, VT 05403-7773
(802) 863-5828
(802) 863-9619
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0060001082
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10907045
CAQH UNIVERSAL CREDENTIAL
VT
01
—
49890
BLUE CROSS BLUE SHIELD
VT
01
—
559660
CIGNA INDIVIDUAL #
VT
Enumeration date
09/29/2006
Last updated
05/31/2019
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