Provider Demographics
NPI:1609309848
Name:QUALITY CARE CHIROPRACTIC LLC
Entity Type:Organization
Organization Name:QUALITY CARE CHIROPRACTIC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:CHAD
Authorized Official - Middle Name:ALAN
Authorized Official - Last Name:VERMEULEN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:605-999-5537
Mailing Address - Street 1:713 S IOWA ST STE 105
Mailing Address - Street 2:
Mailing Address - City:MITCHELL
Mailing Address - State:SD
Mailing Address - Zip Code:57301-3888
Mailing Address - Country:US
Mailing Address - Phone:605-999-5537
Mailing Address - Fax:
Practice Address - Street 1:713 S IOWA ST STE 105
Practice Address - Street 2:
Practice Address - City:MITCHELL
Practice Address - State:SD
Practice Address - Zip Code:57301-3888
Practice Address - Country:US
Practice Address - Phone:605-999-5537
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-04-05
Last Update Date:2017-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SD1310111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty