Provider Demographics
NPI:1447498969
Name:HALTON, PAMELA ANNE (DC)
Entity type:Individual
Prefix:DR
First Name:PAMELA
Middle Name:ANNE
Last Name:HALTON
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:528 ESSEX RD STE 205
Mailing Address - Street 2:
Mailing Address - City:WILLISTON
Mailing Address - State:VT
Mailing Address - Zip Code:05495-7849
Mailing Address - Country:US
Mailing Address - Phone:802-318-5329
Mailing Address - Fax:
Practice Address - Street 1:528 ESSEX RD STE 205
Practice Address - Street 2:
Practice Address - City:WILLISTON
Practice Address - State:VT
Practice Address - Zip Code:05495-7849
Practice Address - Country:US
Practice Address - Phone:802-318-5329
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-01-22
Last Update Date:2009-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT006-0001168111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor