Provider Demographics
NPI:1164689832
Name:VRANKOVICH CHIROPRACTIC INC
Entity Type:Organization
Organization Name:VRANKOVICH CHIROPRACTIC INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:GREG
Authorized Official - Middle Name:
Authorized Official - Last Name:VRANKOVICH
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:510-655-3456
Mailing Address - Street 1:PO BOX 11105
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94611-0105
Mailing Address - Country:US
Mailing Address - Phone:510-655-3456
Mailing Address - Fax:510-655-3464
Practice Address - Street 1:311 OAK ST STE C2
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94607-4635
Practice Address - Country:US
Practice Address - Phone:510-655-3456
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-20
Last Update Date:2023-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA31096111N00000X
CA25378111N00000X
CA3084552261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
No111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty