Provider Demographics
NPI:1013088426
Name:ASSOCIATES IN CHIROPRACTIC & KINESIOLOGY
Entity Type:Organization
Organization Name:ASSOCIATES IN CHIROPRACTIC & KINESIOLOGY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:GINA
Authorized Official - Middle Name:R
Authorized Official - Last Name:MCLEAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:802-864-5150
Mailing Address - Street 1:507 SHELBURNE RD
Mailing Address - Street 2:
Mailing Address - City:BURLINGTON
Mailing Address - State:VT
Mailing Address - Zip Code:05401-5008
Mailing Address - Country:US
Mailing Address - Phone:802-864-5150
Mailing Address - Fax:
Practice Address - Street 1:507 SHELBURNE RD
Practice Address - Street 2:
Practice Address - City:BURLINGTON
Practice Address - State:VT
Practice Address - Zip Code:05401-5008
Practice Address - Country:US
Practice Address - Phone:802-864-5150
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-10
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
1014511100OtherACS - DEPT OF LABOR (FED)