Vickers Chiropractic Clinic

LBN: Charles Vickers Dc Pa
Vickers Chiropractic Clinic is an health care organization with primary practice located at 4325 Highland Park Blvd , Lakeland FL 33813-1671. The organization recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as the primary health care specialty. Charles Vickers Dc Pa can be contacted via phone (863) 644-5541, or through Vickers, Charles Robert via phone (863) 644-5541.

Contact Information

Primary practice address
4325 Highland Park Blvd Lakeland FL 33813-1671
Phone: (863) 644-5541
Fax: (863) 647-1793
Website:
Map and Directions
Authorized official contact:
Name: Vickers, Charles Robert Doctor of Chiropractic (DC)
Phone: (863) 644-5541

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X CH0003329 Florida

Profile Details

NPI number 1245241553
LBN Legal business name Charles Vickers Dc Pa
DBA Doing business as Vickers Chiropractic Clinic
Authorized official Vickers, Charles Robert Doctor of Chiropractic (DC)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 11th, 2006
Last updated Jun 17th, 2008 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1245241553 NPPES
Florida MEDICAID 051926000

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