Provider Demographics
NPI:1265235881
Name:VERA CHIROPRACTIC LLC
Entity type:Organization
Organization Name:VERA CHIROPRACTIC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR AND OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MAKENZIE
Authorized Official - Middle Name:KAY
Authorized Official - Last Name:SCHOUTEN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:402-770-1162
Mailing Address - Street 1:2716 FORUM BLVD STE 3
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:MO
Mailing Address - Zip Code:65203-5450
Mailing Address - Country:US
Mailing Address - Phone:573-447-6155
Mailing Address - Fax:
Practice Address - Street 1:2716 FORUM BLVD STE 3
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:MO
Practice Address - Zip Code:65203-5450
Practice Address - Country:US
Practice Address - Phone:573-447-6155
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-29
Last Update Date:2025-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty