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Contact Information

MALLETTS BAY CHIROPRACTIC
500 HEINEBERG DR
COLCHESTER, VT05446-6772
 Phone: 802-865-2255
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Chiropractor

111N00000X 35 Chiropractic
Indicates primary specialty

NPI Profile & details for MALLETTS BAY CHIROPRACTIC

NPI Number 1184713737
LBN Legal business name MALLETTS BAY CHIROPRACTIC
Authorized official KENNETH LIEBMAN - (PARTNER)
Entity Organization
Organization subpart 1 No
Enumeration date 10/12/2006
Last updated 08/22/2020 - About 6 years ago
Identifiers
VT License # 808
VT Other 4427 VT BLUE CROSS
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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