Provider Demographics
NPI:1134441371
Name:VARICK FAMILY CHIROPRACTIC P.C.
Entity type:Organization
Organization Name:VARICK FAMILY CHIROPRACTIC P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:CASEY
Authorized Official - Middle Name:L
Authorized Official - Last Name:VARICK
Authorized Official - Suffix:JR
Authorized Official - Credentials:DC
Authorized Official - Phone:605-791-2141
Mailing Address - Street 1:214 FRONTAGE RD
Mailing Address - Street 2:
Mailing Address - City:BOX ELDER
Mailing Address - State:SD
Mailing Address - Zip Code:57719-9717
Mailing Address - Country:US
Mailing Address - Phone:605-791-2141
Mailing Address - Fax:605-791-4016
Practice Address - Street 1:214 FRONTAGE RD
Practice Address - Street 2:
Practice Address - City:BOX ELDER
Practice Address - State:SD
Practice Address - Zip Code:57719-9717
Practice Address - Country:US
Practice Address - Phone:605-791-2141
Practice Address - Fax:605-791-4016
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-02-15
Last Update Date:2010-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SD1163111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty