Provider Demographics
NPI:1972550549
Name:GEERSEN, PAUL JOSEPH (DC)
Entity Type:Individual
Prefix:DR
First Name:PAUL
Middle Name:JOSEPH
Last Name:GEERSEN
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 1:66 SPRINGER DR STE 308
Mailing Address - Street 2:
Mailing Address - City:HIGHLANDS RANCH
Mailing Address - State:CO
Mailing Address - Zip Code:80129-2308
Mailing Address - Country:US
Mailing Address - Phone:303-471-4800
Mailing Address - Fax:805-299-4517
Practice Address - Street 1:66 SPRINGER DR STE 308
Practice Address - Street 2:
Practice Address - City:HIGHLANDS RANCH
Practice Address - State:CO
Practice Address - Zip Code:80129-2308
Practice Address - Country:US
Practice Address - Phone:303-471-4800
Practice Address - Fax:805-299-4517
Is Sole Proprietor?:No
Enumeration Date:2006-05-28
Last Update Date:2008-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO5043111NS0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NS0005XChiropractic ProvidersChiropractorSports Physician
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO473078Medicare ID - Type UnspecifiedMEDICARE GROUP NUMBER
CO473088Medicare ID - Type UnspecifiedMEDICARE PROVIDER NUMBER
COC811049Medicare PIN