Venice Village Chiropractic Clinic Pa

LBN: Venice Village Chiropractic Clinic Pa
Venice Village Chiropractic Clinic Pa is an health care organization with primary practice located at 4140 Woodmere Park Blvd Ste 2, Venice FL 34293-2205. The organization recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as the primary health care specialty. Venice Village Chiropractic Clinic Pa can be contacted via phone (941) 497-7424, or through Bolen, Gary E via phone (941) 497-7424.

Contact Information

Primary practice address
4140 Woodmere Park Blvd Ste 2 Venice FL 34293-2205
Phone: (941) 497-7424
Fax: (941) 493-8413
Website:
Map and Directions
Authorized official contact:
Name: Bolen, Gary E Doctor of Chiropractic (DC)
Phone: (941) 497-7424

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X CH7387 Florida

Profile Details

NPI number 1033302492
LBN Legal business name Venice Village Chiropractic Clinic Pa
DBA Doing business as
Authorized official Bolen, Gary E Doctor of Chiropractic (DC)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 20th, 2007
Last updated Aug 20th, 2007 - about 19 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 1033302492 NPPES
Florida MEDICAID 38112550

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