Provider Demographics
NPI:1659429033
Name:VERNER, DENNIS P (DC)
Entity type:Individual
Prefix:DR
First Name:DENNIS
Middle Name:P
Last Name:VERNER
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 1:504 E 2ND ST
Mailing Address - Street 2:
Mailing Address - City:WINNEMUCCA
Mailing Address - State:NV
Mailing Address - Zip Code:89445-2827
Mailing Address - Country:US
Mailing Address - Phone:775-623-3938
Mailing Address - Fax:775-623-3939
Practice Address - Street 1:504 E 2ND ST
Practice Address - Street 2:
Practice Address - City:WINNEMUCCA
Practice Address - State:NV
Practice Address - Zip Code:89445-2827
Practice Address - Country:US
Practice Address - Phone:775-623-3938
Practice Address - Fax:775-623-3939
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-08
Last Update Date:2007-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVB00242111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NVT62283Medicare UPIN
NVV104910Medicare PIN