Organization Name: | VONDRA FAMILY CHIROPRACTIC PC |
NPI Number: | 1700049301 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JOSEPH ALAN VONDRA (PRESIDENT/OWNER) |
Mailing Address: | 186 E Main St 5 Fernley |
State: | NV US |
Postal Code: | 894087723 |
Phone Number: | 7755759922 |
Fax Number: | |
NPI Enumeration Date: | 07/03/2008 |
NPI Last Update Date: | 02/11/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QH0100X |
License Number: | B-863 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NV |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Health Service |
Taxonomy Definition: |