Provider Demographics
NPI:1417020702
Name:VERMEER, EUGENE ALAN (DC)
Entity Type:Individual
Prefix:
First Name:EUGENE
Middle Name:ALAN
Last Name:VERMEER
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 1:13734 E QUINCY AVE
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80015-1129
Mailing Address - Country:US
Mailing Address - Phone:303-690-0292
Mailing Address - Fax:303-690-0293
Practice Address - Street 1:13734 E QUINCY AVE
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80015-1129
Practice Address - Country:US
Practice Address - Phone:303-690-0292
Practice Address - Fax:303-690-0293
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO1460111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
COC11683Medicare ID - Type Unspecified
COT60474Medicare UPIN