Provider Demographics
NPI:1124625488
Name:CV CHIROPRACTIC PLLC
Entity type:Organization
Organization Name:CV CHIROPRACTIC PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR OF CHIROPRACTIC
Authorized Official - Prefix:DR
Authorized Official - First Name:COREY
Authorized Official - Middle Name:MICHAEL
Authorized Official - Last Name:VOLLINK
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:208-966-4930
Mailing Address - Street 1:2415 N GOVERNMENT WAY STE 6
Mailing Address - Street 2:
Mailing Address - City:COEUR D ALENE
Mailing Address - State:ID
Mailing Address - Zip Code:83814-3654
Mailing Address - Country:US
Mailing Address - Phone:208-966-4930
Mailing Address - Fax:208-936-2560
Practice Address - Street 1:2415 N GOVERNMENT WAY STE 6
Practice Address - Street 2:
Practice Address - City:COEUR D ALENE
Practice Address - State:ID
Practice Address - Zip Code:83814-3654
Practice Address - Country:US
Practice Address - Phone:208-966-4930
Practice Address - Fax:208-936-2560
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-08
Last Update Date:2020-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty