Healthcare Provider Details

I. General information

NPI: 1821254640
Provider Name (Legal Business Name): COURTNEY K VREELAND DC, MS, DACNB
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/31/2008
Last Update Date: 04/08/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

331 OLCOTT DR STE U1
WHITE RIVER JUNCTION VT
05001-9263
US

IV. Provider business mailing address

331 OLCOTT DR STE U1
WHITE RIVER JUNCTION VT
05001-9263
US

V. Phone/Fax

Practice location:
  • Phone: 802-649-3122
  • Fax: 802-649-3139
Mailing address:
  • Phone: 802-649-3122
  • Fax: 802-649-3139

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111NN0400X
TaxonomyNeurology Chiropractor
License Number006-0001170
License Number StateVT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: