1871857763 NPI number — LOUISA SALISBURY MD

Table of content: LOUISA SALISBURY MD (NPI 1871857763)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1871857763 NPI number — LOUISA SALISBURY MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
SALISBURY
Provider First Name:
LOUISA
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
MD
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1871857763
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
06/12/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 749
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
MORRISVILLE
Provider Business Mailing Address State Name:
VT
Provider Business Mailing Address Postal Code:
05661-0749
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
802-851-8619
Provider Business Mailing Address Fax Number:
802-851-8716

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
272 N MAIN STRRET
Provider Second Line Business Practice Location Address:
UNIT 101
Provider Business Practice Location Address City Name:
CAMBRIDGE
Provider Business Practice Location Address State Name:
VT
Provider Business Practice Location Address Postal Code:
05444
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
802-644-5114
Provider Business Practice Location Address Fax Number:
802-888-6075
Provider Enumeration Date:
06/26/2012

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 208000000X , with the licence number:  325366 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 208000000X , with the licence number: A136386 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 208000000X , with the licence number: 042.0016971 , registered in the state of VT ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





Copyright © 2007-2025 www.npivalidator.com