Provider Demographics
NPI:1366461808
Name:VOLK, CHAD EDWARD (DC)
Entity Type:Individual
Prefix:DR
First Name:CHAD
Middle Name:EDWARD
Last Name:VOLK
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:261 N MAIN ST
Mailing Address - Street 2:
Mailing Address - City:SAINT ALBANS
Mailing Address - State:VT
Mailing Address - Zip Code:05478-1526
Mailing Address - Country:US
Mailing Address - Phone:802-527-2492
Mailing Address - Fax:802-527-0536
Practice Address - Street 1:261 N MAIN ST
Practice Address - Street 2:
Practice Address - City:SAINT ALBANS
Practice Address - State:VT
Practice Address - Zip Code:05478-1526
Practice Address - Country:US
Practice Address - Phone:802-527-2492
Practice Address - Fax:802-527-0536
Is Sole Proprietor?:No
Enumeration Date:2006-07-18
Last Update Date:2011-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT00600011081111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
VTOVN-2484Medicaid
VTVN2484Medicare PIN
VTU83089Medicare UPIN