Provider Demographics
NPI:1508047937
Name:GERSON, EMILY BETH (DC)
Entity Type:Individual
Prefix:DR
First Name:EMILY
Middle Name:BETH
Last Name:GERSON
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1940 E 18TH AVE
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80206-1108
Mailing Address - Country:US
Mailing Address - Phone:203-570-2678
Mailing Address - Fax:
Practice Address - Street 1:1940 E 18TH AVE
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80206-1108
Practice Address - Country:US
Practice Address - Phone:203-570-2678
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-14
Last Update Date:2019-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT001694111N00000X
CO001694111N00000X
NYX011385-1111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor