Provider Demographics
NPI:1831327493
Name:ZEPERNICK, EMILIE NELL (DC)
Entity type:Individual
Prefix:DR
First Name:EMILIE
Middle Name:NELL
Last Name:ZEPERNICK
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 1:234 RAILROAD AVE
Mailing Address - Street 2:
Mailing Address - City:RIFLE
Mailing Address - State:CO
Mailing Address - Zip Code:81650-2218
Mailing Address - Country:US
Mailing Address - Phone:303-506-2931
Mailing Address - Fax:
Practice Address - Street 1:234 RAILROAD AVE
Practice Address - Street 2:
Practice Address - City:RIFLE
Practice Address - State:CO
Practice Address - Zip Code:81650-2218
Practice Address - Country:US
Practice Address - Phone:303-506-2931
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-22
Last Update Date:2016-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO5095111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor