Malletts Bay Chiropractic

LBN: Malletts Bay Chiropractic
Malletts Bay Chiropractic is an health care organization with primary practice located at 500 Heineberg Dr , Colchester VT 05446-6772. The organization recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as the primary health care specialty. Malletts Bay Chiropractic can be contacted via phone (802) 865-2255, or through Liebman, Kenneth M via phone (802) 865-2255.

Contact Information

Primary practice address
500 Heineberg Dr Colchester VT 05446-6772
Phone: (802) 865-2255
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Liebman, Kenneth M Doctor of Chiropractic (DC)
Phone: (802) 865-2255

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 808 Vermont

Profile Details

NPI number 1184713737
LBN Legal business name Malletts Bay Chiropractic
DBA Doing business as
Authorized official Liebman, Kenneth M Doctor of Chiropractic (DC)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 12th, 2006
Last updated Aug 22nd, 2020 - about 6 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 1184713737 NPPES
Vermont Other 4427 VT BLUE CROSS

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