Provider Demographics
NPI:1255575858
Name:VERMAELEN, DEVIN R (DC)
Entity type:Individual
Prefix:DR
First Name:DEVIN
Middle Name:R
Last Name:VERMAELEN
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 1:503 N MAIN ST
Mailing Address - Street 2:
Mailing Address - City:MARKSVILLE
Mailing Address - State:LA
Mailing Address - Zip Code:71351-2430
Mailing Address - Country:US
Mailing Address - Phone:318-240-7770
Mailing Address - Fax:318-240-7759
Practice Address - Street 1:503 N MAIN ST
Practice Address - Street 2:
Practice Address - City:MARKSVILLE
Practice Address - State:LA
Practice Address - Zip Code:71351-2430
Practice Address - Country:US
Practice Address - Phone:318-240-7770
Practice Address - Fax:318-240-7759
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-27
Last Update Date:2009-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA1511111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor