Healthcare Provider Details
I. General information
NPI: 1457548570
Provider Name (Legal Business Name): VERNA INEZ BRASHER DC
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 10/02/2007
Last Update Date: 10/02/2007
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
7120 E 49TH AVE
COMMERCE CITY CO
80022-4715
US
IV. Provider business mailing address
7120 E 49TH AVE
COMMERCE CITY CO
80022-4715
US
V. Phone/Fax
- Phone: 303-227-6790
- Fax: 303-227-6789
- Phone: 303-227-6790
- Fax: 303-227-6789
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 111NI0013X |
| Taxonomy | Independent Medical Examiner Chiropractor |
| License Number | 4354 |
| License Number State | CO |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: