47D2296211 CLIA NUMBER - MARION M FRASER, DC PLC

Laboratory Demographics

CLIA Number: 47D2296211

Facility Name: MARION M FRASER, DC PLC

Facility Address:
21 CARMICHAEL ST, STE 104
ESSEX JUNCTION, VT
ZIP 05452
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Facility Phone Number: 802 825-6068

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1851468326

Taxonomy: 111N00000X - Chiropractor
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

CLIA Record

Field Name	Field Value
CLIA Number	47D2296211
LAB Type	Physician Office
Facility Name	MARION M FRASER, DC PLC
Street	21 CARMICHAEL ST, STE 104
City	ESSEX JUNCTION
State	VT
ZIP	05452
Phone	802 825-6068
CertificateType	4
CertificateEffectiveDate	12/22/2023
CertificateExpirationDate	12/21/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024