Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NR0400X | Rehabilitation Chiropractor | 006-0001127 | VT |
NPI | 1245456391 |
---|---|
Provider Name | Dr. Paul R Winters |
First Address | Morrisville, VT 05661 |
Second Address | Morrisville, VT 05661 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 17/04/2007 |
Last Update Date | 08/07/2007 |