Provider Demographics
NPI:1689208415
Name:DSVK PLLC
Entity Type:Organization
Organization Name:DSVK PLLC
Other - Org Name:VOYAGE FAMILY CHIROPRACTIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:DUSTIN
Authorized Official - Middle Name:SPENSER
Authorized Official - Last Name:KNICKREHM
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:205-706-7963
Mailing Address - Street 1:521 MONTGOMERY HWY STE 121
Mailing Address - Street 2:
Mailing Address - City:VESTAVIA HILLS
Mailing Address - State:AL
Mailing Address - Zip Code:35216-1876
Mailing Address - Country:US
Mailing Address - Phone:205-734-0911
Mailing Address - Fax:205-734-0913
Practice Address - Street 1:521 MONTGOMERY HWY STE 121
Practice Address - Street 2:
Practice Address - City:VESTAVIA HILLS
Practice Address - State:AL
Practice Address - Zip Code:35216-1876
Practice Address - Country:US
Practice Address - Phone:205-734-0911
Practice Address - Fax:205-734-0913
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-03-02
Last Update Date:2020-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty