Provider Demographics
NPI:1194943365
Name:CHIROPRACTIC SOLUTIONS, INC. DBA VIBRANT HEALTH & WELLNESS CENTER
Entity type:Organization
Organization Name:CHIROPRACTIC SOLUTIONS, INC. DBA VIBRANT HEALTH & WELLNESS CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRISTIE
Authorized Official - Middle Name:LAUREL
Authorized Official - Last Name:SONCHAR
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:719-599-0102
Mailing Address - Street 1:1750 TELSTAR DR STE 201
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80920-1052
Mailing Address - Country:US
Mailing Address - Phone:719-599-0102
Mailing Address - Fax:719-599-0203
Practice Address - Street 1:1750 TELSTAR DR STE 201
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80920-1052
Practice Address - Country:US
Practice Address - Phone:719-599-0102
Practice Address - Fax:719-599-0203
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-23
Last Update Date:2023-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty
No111NI0900XChiropractic ProvidersChiropractorInternistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
COC800032Medicare ID - Type Unspecified