Provider Demographics
NPI:1942449731
Name:VEIRS, RICHARD JASON (DC)
Entity Type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:JASON
Last Name:VEIRS
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 1:355 E FOOTHILL BLVD
Mailing Address - Street 2:STE. B
Mailing Address - City:POMONA
Mailing Address - State:CA
Mailing Address - Zip Code:91767-1469
Mailing Address - Country:US
Mailing Address - Phone:909-593-6553
Mailing Address - Fax:909-945-9929
Practice Address - Street 1:355 E FOOTHILL BLVD
Practice Address - Street 2:STE. B
Practice Address - City:POMONA
Practice Address - State:CA
Practice Address - Zip Code:91767-1469
Practice Address - Country:US
Practice Address - Phone:909-593-6553
Practice Address - Fax:909-945-9929
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-18
Last Update Date:2009-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC-30997111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor