Provider Demographics
NPI:1992059901
Name:VOLLINK, COREY MICHAEL (DC)
Entity type:Individual
Prefix:DR
First Name:COREY
Middle Name:MICHAEL
Last Name:VOLLINK
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2881 HENRY ST
Mailing Address - Street 2:SUITE A
Mailing Address - City:NORTON SHORES
Mailing Address - State:MI
Mailing Address - Zip Code:49441-4891
Mailing Address - Country:US
Mailing Address - Phone:231-766-8072
Mailing Address - Fax:231-737-9002
Practice Address - Street 1:1401 W BIZTOWN LOOP
Practice Address - Street 2:
Practice Address - City:HAYDEN
Practice Address - State:ID
Practice Address - Zip Code:83835
Practice Address - Country:US
Practice Address - Phone:208-762-3660
Practice Address - Fax:208-762-3600
Is Sole Proprietor?:No
Enumeration Date:2012-10-30
Last Update Date:2018-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IDCHIA-1831111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor