Provider Demographics
NPI:1043771744
Name:FISCHMAN, ALISON RENEE (CPM, LM)
Entity type:Individual
Prefix:
First Name:ALISON
Middle Name:RENEE
Last Name:FISCHMAN
Suffix:
Gender:F
Credentials:CPM, LM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24 FRAZER RD
Mailing Address - Street 2:
Mailing Address - City:WOLCOTT
Mailing Address - State:VT
Mailing Address - Zip Code:05680-3030
Mailing Address - Country:US
Mailing Address - Phone:202-747-4757
Mailing Address - Fax:
Practice Address - Street 1:1037 S CRAFTSBURY RD
Practice Address - Street 2:
Practice Address - City:CRAFTSBURY
Practice Address - State:VT
Practice Address - Zip Code:05826-9008
Practice Address - Country:US
Practice Address - Phone:202-747-4757
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-03-26
Last Update Date:2019-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT107.0129905176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife
Provider Identifiers
StateIdentifier IDID TypeIssuer
VT107.0129905OtherOPR
19030018OtherNARM, CPM