Provider Demographics
NPI:1346295730
Name:VWC, PLLC
Entity Type:Organization
Organization Name:VWC, PLLC
Other - Org Name:THE VILLAGE WELLNESS CENTER, A CHIROPRACTIC PLACE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SHERRY
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:SIEBER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:734-981-1950
Mailing Address - Street 1:5773 N CANTON CENTER RD
Mailing Address - Street 2:STUIT 5
Mailing Address - City:CANTON
Mailing Address - State:MI
Mailing Address - Zip Code:48187-2620
Mailing Address - Country:US
Mailing Address - Phone:734-981-1950
Mailing Address - Fax:734-498-1198
Practice Address - Street 1:5773 N CANTON CENTER RD
Practice Address - Street 2:STUIT 5
Practice Address - City:CANTON
Practice Address - State:MI
Practice Address - Zip Code:48187-2620
Practice Address - Country:US
Practice Address - Phone:734-981-1950
Practice Address - Fax:734-498-1198
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-23
Last Update Date:2016-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2301009126111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
0H22922OtherBCBSM
0P36710Medicare PIN
V08229Medicare UPIN