MEDICARE: VEAL CHIROPRACTIC CENTER PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	740	MS

General Provider Information

NPI Number	:	1710163613
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VEAL CHIROPRACTIC CENTER PC

Provider Business Mailing Address
First Line	:	PO BOX 2187
Second Line	:
City	:	COLUMBUS
State	:	MS
Zip	:	39704-2187
Country	:	US
Telephone Number	:	662-328-1114
Fax Number	:	662-328-1114

Provider Business Practice Location Address
First Line	:	119A GARDNER BLVD
Second Line	:
City	:	COLUMBUS
State	:	MS
Zip	:	39702-6606
Country	:	US
Telephone Number	:	662-328-1114
Fax Number	:	662-328-1114

Authorized Official
Title or Position	:	MANAGER
Name	:	MRS. DIANNE VEAL
Credential	:	CA
Telephone Number	:	662-328-1114

Provider Enumeration Date	:	01/10/2008
Last Update Date	:	04/26/2021

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