Provider Demographics
NPI:1689035461
Name:VB CHIROPRACTIC, PLC.
Entity Type:Organization
Organization Name:VB CHIROPRACTIC, PLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:VUILLER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:517-366-8467
Mailing Address - Street 1:2125 MCCOMAS WAY
Mailing Address - Street 2:SUITE 101
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23456-3986
Mailing Address - Country:US
Mailing Address - Phone:757-427-7690
Mailing Address - Fax:757-427-7692
Practice Address - Street 1:2125 MCCOMAS WAY
Practice Address - Street 2:SUITE 101
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23456-3986
Practice Address - Country:US
Practice Address - Phone:757-427-7690
Practice Address - Fax:757-427-7692
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-03-08
Last Update Date:2016-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0104557155111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty