Chiro-Med & Rehab

LBN: Chiro-Med & Rehab
Chiro-Med & Rehab is an health care organization with primary practice located at 345 Elm St , Bennington VT 05201-2265. The organization recently has 3 registered licenses in different health care specialties including Chiropractic Providers / Chiropractor, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic is the primary health care specialty. Chiro-Med & Rehab can be contacted via phone (802) 753-7930, or through Sullivan-Bol, Kenneth James via phone (802) 753-7930.

Contact Information

Primary practice address
345 Elm St Bennington VT 05201-2265
Phone: (802) 753-7930
Fax: (802) 753-7924
Website:
Map and Directions
Authorized official contact:
Name: Sullivan-Bol, Kenneth James Doctor of Chiropractic (DC)
Phone: (802) 753-7930

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 006.0061495 Vermont
Chiropractic Providers / Chiropractor 111N00000X 38-009348 Illinois
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic 2251X0800X 006.0061495 Vermont
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X

Profile Details

NPI number 1124384938
LBN Legal business name Chiro-Med & Rehab
DBA Doing business as
Authorized official Sullivan-Bol, Kenneth James Doctor of Chiropractic (DC)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 5th, 2012
Last updated Apr 24th, 2024 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124384938 NPPES
Vermont MEDICAID 1020447

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