Provider Demographics
NPI:1730267170
Name:VRONA, GREGORY GENE (DC)
Entity type:Individual
Prefix:DR
First Name:GREGORY
Middle Name:GENE
Last Name:VRONA
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:50 KILLARNEY DR
Mailing Address - Street 2:
Mailing Address - City:BURLINGTON
Mailing Address - State:VT
Mailing Address - Zip Code:05408-2702
Mailing Address - Country:US
Mailing Address - Phone:802-777-1138
Mailing Address - Fax:404-299-9635
Practice Address - Street 1:13 KILBURN ST
Practice Address - Street 2:
Practice Address - City:BURLINGTON
Practice Address - State:VT
Practice Address - Zip Code:05401-4750
Practice Address - Country:US
Practice Address - Phone:802-777-1138
Practice Address - Fax:404-299-9635
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-02
Last Update Date:2013-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACHIR006646111N00000X
VT006.0075459111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA35ZCFZXMedicare ID - Type Unspecified
GAU80560Medicare UPIN