Provider Demographics
NPI:1760854079
Name:VERTICAL CHIROPRACTIC INC
Entity Type:Organization
Organization Name:VERTICAL CHIROPRACTIC INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR OF CHIROPRACTIC
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTINA
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:FETTIG
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:701-640-4715
Mailing Address - Street 1:3750 MAIN AVE STE 3
Mailing Address - Street 2:
Mailing Address - City:DURANGO
Mailing Address - State:CO
Mailing Address - Zip Code:81301-4020
Mailing Address - Country:US
Mailing Address - Phone:970-403-8888
Mailing Address - Fax:970-403-8889
Practice Address - Street 1:3750 MAIN AVE STE 3
Practice Address - Street 2:
Practice Address - City:DURANGO
Practice Address - State:CO
Practice Address - Zip Code:81301-4020
Practice Address - Country:US
Practice Address - Phone:970-403-8888
Practice Address - Fax:970-403-8889
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-10-26
Last Update Date:2020-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO7143111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty