Provider Demographics
NPI:1164986147
Name:VEZENDY CHIROPRACTIC, PC
Entity Type:Organization
Organization Name:VEZENDY CHIROPRACTIC, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JON
Authorized Official - Middle Name:
Authorized Official - Last Name:VEZENDY
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:704-252-1093
Mailing Address - Street 1:20723 TORRENCE CHAPEL RD STE 201
Mailing Address - Street 2:
Mailing Address - City:CORNELIUS
Mailing Address - State:NC
Mailing Address - Zip Code:28031-6399
Mailing Address - Country:US
Mailing Address - Phone:704-895-2240
Mailing Address - Fax:
Practice Address - Street 1:20723 TORRENCE CHAPEL RD STE 201
Practice Address - Street 2:
Practice Address - City:CORNELIUS
Practice Address - State:NC
Practice Address - Zip Code:28031-6399
Practice Address - Country:US
Practice Address - Phone:704-895-2240
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-24
Last Update Date:2023-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NX0100XChiropractic ProvidersChiropractorOccupational HealthGroup - Single Specialty