Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 111NN0400X | Neurology | 006-0000870 | VT |
N | 111NN1001X | Nutrition | 006-0000870 | VT |
Y | 111NR0400X | Rehabilitation Chiropractor | 006-0000870 | VT |
NPI | 1124162367 |
---|---|
Provider Name | Dr. William J Schenck |
First Address | Williston, VT 05495-0979 |
Second Address | Williston, VT 05495-4035 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/02/2007 |
Last Update Date | 14/08/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
03036 | CBA (01) | VT |
80705 | GREAT WEST (01) | VT |
SCH00018942 | BCBS (01) | VT |
T87083 | CIGNA (01) | VT |