Provider Demographics
NPI:1780622316
Name:ALBERS, VINTON LEE (DC)
Entity type:Individual
Prefix:DR
First Name:VINTON
Middle Name:LEE
Last Name:ALBERS
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:PO BOX 240129
Mailing Address - Street 2:
Mailing Address - City:APPLE VALLEY
Mailing Address - State:MN
Mailing Address - Zip Code:55124-0129
Mailing Address - Country:US
Mailing Address - Phone:952-432-3320
Mailing Address - Fax:952-432-3210
Practice Address - Street 1:7373 147TH ST W
Practice Address - Street 2:SUITE 172
Practice Address - City:APPLE VALLEY
Practice Address - State:MN
Practice Address - Zip Code:55124-7690
Practice Address - Country:US
Practice Address - Phone:952-432-3320
Practice Address - Fax:952-432-3210
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN1302111NR0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NR0200XChiropractic ProvidersChiropractorRadiology