Community Chiropractic Spine & Sport Pllc
LBN: Community Chiropractic Spine & Sport Pllc
Community Chiropractic Spine & Sport Pllc is an health care organization with primary practice located at 8 Essex Way Ste 204 , Essex Jct VT 05452-3422. The organization recently has 3 registered licenses in different health care specialties including Chiropractic Providers / Chiropractor, Other Service Providers / Naturopath, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist. Chiropractic Providers / Chiropractor is the primary health care specialty.
Community Chiropractic Spine & Sport Pllc can be contacted via phone (802) 872-9788, or through Koch, Darryl Lawrence via phone (802) 233-3675.
Contact Information
Primary practice address
8 Essex Way Ste 204
Essex Jct VT 05452-3422
Phone: (802) 872-9788
Fax: (802) 878-1209
Website:
Authorized official contact:
Name: Koch, Darryl Lawrence Doctor of Chiropractic (DC)
Phone: (802) 233-3675
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | ||
| Other Service Providers / Naturopath | 175F00000X | ||
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X |
Profile Details
| NPI number | 1326516089 |
|---|---|
| LBN Legal business name | Community Chiropractic Spine & Sport Pllc |
| DBA Doing business as | |
| Authorized official | Koch, Darryl Lawrence Doctor of Chiropractic (DC) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 10th, 2018 |
| Last updated | Nov 10th, 2018 - about 8 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1326516089 | NPPES |
| Vermont | MEDICAID | OVN3616 |
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