Provider Demographics
NPI:1952690430
Name:VANCE CHIROPRACTIC SERVICES
Entity Type:Organization
Organization Name:VANCE CHIROPRACTIC SERVICES
Other - Org Name:DR. VANCE'S FAMILY CHIROPRACTIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:NEIL
Authorized Official - Middle Name:ROBERT
Authorized Official - Last Name:VANCE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:315-685-2070
Mailing Address - Street 1:1398 COACH RD
Mailing Address - Street 2:
Mailing Address - City:SKANEATELES
Mailing Address - State:NY
Mailing Address - Zip Code:13152-8871
Mailing Address - Country:US
Mailing Address - Phone:315-685-2070
Mailing Address - Fax:
Practice Address - Street 1:1398 COACH RD
Practice Address - Street 2:
Practice Address - City:SKANEATELES
Practice Address - State:NY
Practice Address - Zip Code:13152-8871
Practice Address - Country:US
Practice Address - Phone:315-685-2070
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-04-05
Last Update Date:2011-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX011684111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty