Provider Demographics
NPI:1427363662
Name:V CHIROPRACTIC AND REHABILITATION LLC
Entity type:Organization
Organization Name:V CHIROPRACTIC AND REHABILITATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:S
Authorized Official - Last Name:VARNAY
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:303-728-4855
Mailing Address - Street 1:541 GARCIA ST
Mailing Address - Street 2:
Mailing Address - City:SANTA FE
Mailing Address - State:NM
Mailing Address - Zip Code:87505-2855
Mailing Address - Country:US
Mailing Address - Phone:505-795-3337
Mailing Address - Fax:
Practice Address - Street 1:1500 5TH ST
Practice Address - Street 2:SUITE 12
Practice Address - City:SANTA FE
Practice Address - State:NM
Practice Address - Zip Code:87505-3480
Practice Address - Country:US
Practice Address - Phone:505-795-3337
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-08-12
Last Update Date:2011-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO6328111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty