Organization
BISACCIA CHIROPRACTORS PC
Active
Other names
Williston Chiropractic and Sports Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARNA MICHELLE BISACCIA DC (VP PHYSICIAN)
(802) 863-2272
Entity
Organization
Contact information
Practice address
802 INDUSTRIAL AVE, WILLISTON, VT 05495-7122
(802) 863-2272
(802) 658-0823
Mailing address
PO BOX 669, 802 INDUSTRIAL AVE, WILLISTON, VT 05495-0669
(802) 863-2272
(802) 658-0823
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1015150
—
VT
Enumeration date
10/27/2006
Last updated
12/03/2010
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