Provider Demographics
NPI:1497565659
Name:VERTEBREY CHIROPRACTIC LLC
Entity type:Organization
Organization Name:VERTEBREY CHIROPRACTIC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:BREYLEIGH
Authorized Official - Middle Name:
Authorized Official - Last Name:GEGELMAN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:701-590-0887
Mailing Address - Street 1:1714 13TH ST E
Mailing Address - Street 2:
Mailing Address - City:WEST FARGO
Mailing Address - State:ND
Mailing Address - Zip Code:58078-4308
Mailing Address - Country:US
Mailing Address - Phone:701-590-0887
Mailing Address - Fax:
Practice Address - Street 1:3611 LINCOLN ST S STE A
Practice Address - Street 2:
Practice Address - City:FARGO
Practice Address - State:ND
Practice Address - Zip Code:58104-7727
Practice Address - Country:US
Practice Address - Phone:701-590-0887
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-09
Last Update Date:2025-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty