Provider Demographics
NPI:1174926166
Name:BEEDENBENDER, JOHN (ND)
Entity type:Individual
Prefix:
First Name:JOHN
Middle Name:
Last Name:BEEDENBENDER
Suffix:
Gender:M
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:387 CANAL ST
Mailing Address - Street 2:
Mailing Address - City:BRATTLEBORO
Mailing Address - State:VT
Mailing Address - Zip Code:05301-6616
Mailing Address - Country:US
Mailing Address - Phone:802-267-4838
Mailing Address - Fax:
Practice Address - Street 1:387 CANAL ST
Practice Address - Street 2:
Practice Address - City:BRATTLEBORO
Practice Address - State:VT
Practice Address - Zip Code:05301-6616
Practice Address - Country:US
Practice Address - Phone:802-267-4838
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-10-03
Last Update Date:2025-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT099.0134207175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath