Provider Demographics
NPI:1447088984
Name:SOLSTICE CHIROPRACTIC AND WELLNESS CENTER, PLLC
Entity type:Organization
Organization Name:SOLSTICE CHIROPRACTIC AND WELLNESS CENTER, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DEREK
Authorized Official - Middle Name:JUSTIN
Authorized Official - Last Name:PRICHARD
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:989-550-5420
Mailing Address - Street 1:20 KIMBALL AVE STE 105
Mailing Address - Street 2:
Mailing Address - City:SOUTH BURLINGTON
Mailing Address - State:VT
Mailing Address - Zip Code:05403-6805
Mailing Address - Country:US
Mailing Address - Phone:989-550-5420
Mailing Address - Fax:
Practice Address - Street 1:20 KIMBALL AVE STE 105
Practice Address - Street 2:
Practice Address - City:SOUTH BURLINGTON
Practice Address - State:VT
Practice Address - Zip Code:05403-6805
Practice Address - Country:US
Practice Address - Phone:989-550-5420
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-25
Last Update Date:2024-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty