Provider Demographics
NPI:1760022420
Name:VELOCITY CHIROPRACTIC PLLC
Entity Type:Organization
Organization Name:VELOCITY CHIROPRACTIC PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MARK
Authorized Official - Middle Name:
Authorized Official - Last Name:SICHENEDER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:734-489-1714
Mailing Address - Street 1:3650 CARPENTER RD STE C
Mailing Address - Street 2:
Mailing Address - City:YPSILANTI
Mailing Address - State:MI
Mailing Address - Zip Code:48197-8591
Mailing Address - Country:US
Mailing Address - Phone:734-489-1714
Mailing Address - Fax:734-544-5441
Practice Address - Street 1:3650 CARPENTER RD STE C
Practice Address - Street 2:
Practice Address - City:YPSILANTI
Practice Address - State:MI
Practice Address - Zip Code:48197-8591
Practice Address - Country:US
Practice Address - Phone:734-489-1714
Practice Address - Fax:734-544-5441
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-10
Last Update Date:2020-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty