Wendy Goodwin, L.AC.
Individual provider Active NPI Acupuncturist · Middlebury, VT
NPI 1083950299 · NPPES record last updated Dec 14, 2012
Key facts
- NPI
- 1083950299
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Acupuncturist 171100000X
- License
- VT 091-0000173 (VT)
- Practice address
- 3129 Case St
Middlebury, VT 05753-9197 - Phone
- (802) 385-1900
- NPI assigned
- Dec 14, 2012
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| VT 091-0000173 | VT | MD | Acupuncturist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | VT 091-0000173 | VT | Yes |
Addresses
Primary practice location
3129 Case St
Middlebury, VT 05753-9197
Mailing address
3129 Case St
Middlebury, VT 05753-9197
Phone (802) 385-1900
Other providers in Middlebury, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 14, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.