| Mr Chad Proulx, RDN, CD | |
|
1315 Hospital Dr, St Johnsbury, VT 05819-9210 | |
| (802) 748-8141 | |
| Not Available |
| Full Name | Mr Chad Proulx |
|---|---|
| Gender | Male |
| Speciality | Dietitian, Registered |
| Location | 1315 Hospital Dr, St Johnsbury, Vermont |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154007177 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | 074.0134331 (Vermont) | Primary |
| Provider Name | Northeastern Vermont Regional Hospital Inc |
|---|---|
| Provider Type | Part A Provider - Critical Access Hospital |
| Provider Identifiers | NPI Number: 1275576704 PECOS PAC ID: 3678481405 Enrollment ID: O20061104000315 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Chad Proulx, RDN, CD 1315 Hospital Dr, St Johnsbury, VT 05819-9210 Ph: (802) 748-8141 | Mr Chad Proulx, RDN, CD 1315 Hospital Dr, St Johnsbury, VT 05819-9210 Ph: (802) 748-8141 |
Kevin M Crawley, RDN Dietitian Medicare: Medicare Enrolled Practice Location: 1315 Hospital Dr, St Johnsbury, VT 05819 Phone: 802-748-8141 Fax: 802-748-4098 |
Sharon Rachel Pinard-sisle, RD Dietitian Medicare: Medicare Enrolled Practice Location: 1315 Hospital Dr, St Johnsbury, VT 05819 Phone: 802-748-8141 |
Virginia J Flanders, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1315 Hospital Dr, St Johnsbury, VT 05819 Phone: 802-748-8141 |