Provider Demographics
NPI:1851527014
Name:ST. ALBANS FAMILY CHIROPRACTIC, INC.
Entity Type:Organization
Organization Name:ST. ALBANS FAMILY CHIROPRACTIC, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CHAD
Authorized Official - Middle Name:E
Authorized Official - Last Name:VOLK
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:802-527-2492
Mailing Address - Street 1:261 NORTH MAIN STREET
Mailing Address - Street 2:
Mailing Address - City:ST. ALBANS
Mailing Address - State:VT
Mailing Address - Zip Code:05478
Mailing Address - Country:US
Mailing Address - Phone:802-527-2492
Mailing Address - Fax:802-527-0536
Practice Address - Street 1:261 NORTH MAIN STREET
Practice Address - Street 2:
Practice Address - City:ST. ALBANS
Practice Address - State:VT
Practice Address - Zip Code:05478
Practice Address - Country:US
Practice Address - Phone:802-527-2492
Practice Address - Fax:802-527-0536
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-02
Last Update Date:2009-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT006-0001081111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VTVO VN2484Medicaid
VTVO VN2484Medicaid