Provider Demographics
NPI:1851452858
Name:JUNKERMEIER, JON ALVIN (DC)
Entity Type:Individual
Prefix:
First Name:JON
Middle Name:ALVIN
Last Name:JUNKERMEIER
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:PO BOX 8802
Mailing Address - Street 2:
Mailing Address - City:BRECKENRIDGE
Mailing Address - State:CO
Mailing Address - Zip Code:80424-9001
Mailing Address - Country:US
Mailing Address - Phone:970-453-8282
Mailing Address - Fax:970-453-0676
Practice Address - Street 1:106 N. FRENCH ST.
Practice Address - Street 2:SUITE 210-6
Practice Address - City:BRECKENRIDGE
Practice Address - State:CO
Practice Address - Zip Code:80424
Practice Address - Country:US
Practice Address - Phone:970-453-8282
Practice Address - Fax:970-453-0676
Is Sole Proprietor?:No
Enumeration Date:2006-12-13
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO4979111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor