Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208100000X | Physical Medicine & Rehabilitation Doctor | 040.0077340 | VT |
NPI | 1053692954 |
---|---|
Provider Name | Chad C Volk |
First Address | Vergennes, VT 05491-8905 |
Second Address | Vergennes, VT 05491-8905 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/09/2011 |
Last Update Date | 13/10/2020 |