Provider Demographics
NPI:1548047244
Name:VERA VITE CHIROPRACTIC, LLC
Entity type:Organization
Organization Name:VERA VITE CHIROPRACTIC, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:R
Authorized Official - Last Name:KRATZ
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:678-392-2135
Mailing Address - Street 1:4135 WOODWIND DR
Mailing Address - Street 2:
Mailing Address - City:CUMMING
Mailing Address - State:GA
Mailing Address - Zip Code:30028-2100
Mailing Address - Country:US
Mailing Address - Phone:404-916-2181
Mailing Address - Fax:
Practice Address - Street 1:4135 WOODWIND DR
Practice Address - Street 2:
Practice Address - City:CUMMING
Practice Address - State:GA
Practice Address - Zip Code:30028-2100
Practice Address - Country:US
Practice Address - Phone:404-916-2181
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-14
Last Update Date:2023-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center