Provider Demographics
NPI:1093096034
Name:VUYOVICH, BRENT MICHAEL (DC)
Entity Type:Individual
Prefix:DR
First Name:BRENT
Middle Name:MICHAEL
Last Name:VUYOVICH
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 1:2501 15TH ST
Mailing Address - Street 2:1C
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80211-3988
Mailing Address - Country:US
Mailing Address - Phone:303-433-0933
Mailing Address - Fax:
Practice Address - Street 1:2501 15TH ST
Practice Address - Street 2:1C
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80211-3988
Practice Address - Country:US
Practice Address - Phone:303-433-0933
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-09-05
Last Update Date:2011-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO6710111N00000X
NC4174111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor