Provider Demographics
NPI:1093867939
Name:VOLZ FAMILY CHIROPRACTIC PLLC
Entity Type:Organization
Organization Name:VOLZ FAMILY CHIROPRACTIC PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR OF CHIROPRACTIC, OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:KYLENE
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:VOLZ
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:518-699-3000
Mailing Address - Street 1:1995 CEDAR ST STE 3
Mailing Address - Street 2:
Mailing Address - City:HOLT
Mailing Address - State:MI
Mailing Address - Zip Code:48842-6330
Mailing Address - Country:US
Mailing Address - Phone:517-699-3000
Mailing Address - Fax:517-699-3610
Practice Address - Street 1:1995 CEDAR ST STE 3
Practice Address - Street 2:
Practice Address - City:HOLT
Practice Address - State:MI
Practice Address - Zip Code:48842-6330
Practice Address - Country:US
Practice Address - Phone:517-699-3000
Practice Address - Fax:517-699-3610
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-18
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2301008904111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MIOP21120Medicare ID - Type Unspecified