Provider Demographics
NPI:1750340469
Name:VANIER, PAUL LEONARD (DC)
Entity type:Individual
Prefix:DR
First Name:PAUL
Middle Name:LEONARD
Last Name:VANIER
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19 N BROAD ST
Mailing Address - Street 2:
Mailing Address - City:CARTHAGE
Mailing Address - State:NY
Mailing Address - Zip Code:13619-9503
Mailing Address - Country:US
Mailing Address - Phone:315-493-4544
Mailing Address - Fax:
Practice Address - Street 1:19 N BROAD ST
Practice Address - Street 2:
Practice Address - City:CARTHAGE
Practice Address - State:NY
Practice Address - Zip Code:13619-9503
Practice Address - Country:US
Practice Address - Phone:315-493-4544
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-03-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX2564111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor