Provider Demographics
NPI:1356122477
Name:VALLABH CHIROPRACTIC LLC
Entity type:Organization
Organization Name:VALLABH CHIROPRACTIC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTIC
Authorized Official - Prefix:
Authorized Official - First Name:YAMIKA
Authorized Official - Middle Name:
Authorized Official - Last Name:PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:770-979-7373
Mailing Address - Street 1:4051 STONE MOUNTAIN HWY STE F104
Mailing Address - Street 2:
Mailing Address - City:LILBURN
Mailing Address - State:GA
Mailing Address - Zip Code:30047-3364
Mailing Address - Country:US
Mailing Address - Phone:770-979-7373
Mailing Address - Fax:770-979-7336
Practice Address - Street 1:4051 STONE MOUNTAIN HWY STE F104
Practice Address - Street 2:
Practice Address - City:LILBURN
Practice Address - State:GA
Practice Address - Zip Code:30047-3364
Practice Address - Country:US
Practice Address - Phone:770-979-7373
Practice Address - Fax:770-979-7336
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-13
Last Update Date:2023-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty