Provider Demographics
NPI:1942649355
Name:CORE FIRST CHIROPRACTIC, LLC
Entity Type:Organization
Organization Name:CORE FIRST CHIROPRACTIC, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR OF CHIROPRACTIC
Authorized Official - Prefix:DR
Authorized Official - First Name:COREY
Authorized Official - Middle Name:MICHAEL
Authorized Official - Last Name:VOLLINK
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:231-766-8072
Mailing Address - Street 1:2881 HENRY ST
Mailing Address - Street 2:SUITE A
Mailing Address - City:MUSKEGON
Mailing Address - State:MI
Mailing Address - Zip Code:49441-4891
Mailing Address - Country:US
Mailing Address - Phone:231-766-8072
Mailing Address - Fax:231-737-9002
Practice Address - Street 1:2881 HENRY ST
Practice Address - Street 2:SUITE A
Practice Address - City:NORTON SHORES
Practice Address - State:MI
Practice Address - Zip Code:49441-4891
Practice Address - Country:US
Practice Address - Phone:231-766-8072
Practice Address - Fax:231-737-9002
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-06-19
Last Update Date:2015-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2301009950111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty