Provider Demographics
NPI:1669788576
Name:HOUSE-VEREEKE, THERESE ANNE (DC)
Entity type:Individual
Prefix:
First Name:THERESE
Middle Name:ANNE
Last Name:HOUSE-VEREEKE
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5211 CHERRY AVE
Mailing Address - Street 2:SUITE 120
Mailing Address - City:HUDSONVILLE
Mailing Address - State:MI
Mailing Address - Zip Code:49426-1447
Mailing Address - Country:US
Mailing Address - Phone:616-426-8500
Mailing Address - Fax:616-426-8501
Practice Address - Street 1:5211 CHERRY AVE
Practice Address - Street 2:SUITE 120
Practice Address - City:HUDSONVILLE
Practice Address - State:MI
Practice Address - Zip Code:49426-1447
Practice Address - Country:US
Practice Address - Phone:616-426-8500
Practice Address - Fax:616-426-8501
Is Sole Proprietor?:No
Enumeration Date:2010-08-30
Last Update Date:2016-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2301009658111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor