Provider Demographics
NPI:1568737153
Name:VERMEERSCH, CHRISTINE JOSEE
Entity Type:Individual
Prefix:MRS
First Name:CHRISTINE
Middle Name:JOSEE
Last Name:VERMEERSCH
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1397 RIDGEWOOD DR
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95118-2937
Mailing Address - Country:US
Mailing Address - Phone:408-912-6299
Mailing Address - Fax:
Practice Address - Street 1:1397 RIDGEWOOD DR
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95118-2937
Practice Address - Country:US
Practice Address - Phone:408-912-6299
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-03-14
Last Update Date:2021-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA374J00000X
CA656176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife
No374J00000XNursing Service Related ProvidersDoula