Provider Demographics
NPI:1356794945
Name:VIVO CHIROPRACTIC VERNON, LLC
Entity type:Organization
Organization Name:VIVO CHIROPRACTIC VERNON, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:APRIL
Authorized Official - Middle Name:M
Authorized Official - Last Name:LITTLE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:860-649-7705
Mailing Address - Street 1:520 HARTFORD TPKE STE B
Mailing Address - Street 2:
Mailing Address - City:VERNON
Mailing Address - State:CT
Mailing Address - Zip Code:06066-5043
Mailing Address - Country:US
Mailing Address - Phone:860-649-7705
Mailing Address - Fax:860-649-7485
Practice Address - Street 1:520 HARTFORD TPKE STE B
Practice Address - Street 2:
Practice Address - City:VERNON
Practice Address - State:CT
Practice Address - Zip Code:06066-5043
Practice Address - Country:US
Practice Address - Phone:860-649-7705
Practice Address - Fax:860-649-7485
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-07-19
Last Update Date:2021-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT001658111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty