National Provider Identifier Database

SPORTS FAMILY CHIROPRACTIC LTD
Chiropractor

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.


Contact Information

SPORTS & FAMILY CHIROPRACTIC LTD
65 S MAIN ST
SUITE 2
WATERBURY, VT05676-1550
Phone: 802-244-1365
Fax: 802-244-0840
Website:
Specialty Taxonomy Code
* Chiropractor 111N00000X

* Indicates primary specialty

NPI Profile & details for SPORTS & FAMILY CHIROPRACTIC LTD

NPI Number 1932190584
Legal business name
LBN
SPORTS & FAMILY CHIROPRACTIC LTD
Authorized official KEITH SCHALLER - (OWNER CHIROPRACTOR)
Entity Organization
Organization subpart No
Enumeration date 11/02/2005
Last updated 08/22/2020 - About 6 years ago
Sole proprietor1 Not specified
Identifiers
  • VT License #: 0060001123
  • VT Medicaid: 0VN3711
  • VT Other: 68628 BLUE CROSS BLUE SHIELD
  • VT Other: 67513 CIGNA

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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