Healthcare Provider Details

I. General information

NPI: 1730267170
Provider Name (Legal Business Name): GREGORY GENE VRONA D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/02/2006
Last Update Date: 02/27/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13 KILBURN ST
BURLINGTON VT
05401-4750
US

IV. Provider business mailing address

50 KILLARNEY DR
BURLINGTON VT
05408-2702
US

V. Phone/Fax

Practice location:
  • Phone: 802-777-1138
  • Fax: 404-299-9635
Mailing address:
  • Phone: 802-777-1138
  • Fax: 404-299-9635

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberCHIR006646
License Number StateGA
# 2
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number006.0075459
License Number StateVT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: