Provider Demographics
NPI:1700854494
Name:VOELKL, GEORGE MICHAEL (DC)
Entity Type:Individual
Prefix:DR
First Name:GEORGE
Middle Name:MICHAEL
Last Name:VOELKL
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 1:1680 EMPIRE BLVD
Mailing Address - Street 2:STE 200
Mailing Address - City:WEBSTER
Mailing Address - State:NY
Mailing Address - Zip Code:14580-2130
Mailing Address - Country:US
Mailing Address - Phone:585-671-6930
Mailing Address - Fax:585-787-1957
Practice Address - Street 1:1680 EMPIRE BLVD
Practice Address - Street 2:STE 200
Practice Address - City:WEBSTER
Practice Address - State:NY
Practice Address - Zip Code:14580-2130
Practice Address - Country:US
Practice Address - Phone:585-671-6930
Practice Address - Fax:585-787-1957
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-09
Last Update Date:2009-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX008826-1111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYU73297Medicare UPIN
NYBB3208Medicare PIN
RA4218Medicare PIN