Provider Demographics
NPI:1194234815
Name:VERKERKE, HANS
Entity type:Individual
Prefix:
First Name:HANS
Middle Name:
Last Name:VERKERKE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2473 MCCURDY WAY
Mailing Address - Street 2:
Mailing Address - City:DECATUR
Mailing Address - State:GA
Mailing Address - Zip Code:30033-4820
Mailing Address - Country:US
Mailing Address - Phone:434-953-5398
Mailing Address - Fax:
Practice Address - Street 1:2473 MCCURDY WAY
Practice Address - Street 2:
Practice Address - City:DECATUR
Practice Address - State:GA
Practice Address - Zip Code:30033-4820
Practice Address - Country:US
Practice Address - Phone:434-953-5398
Practice Address - Fax:434-953-5398
Is Sole Proprietor?:No
Enumeration Date:2017-09-26
Last Update Date:2017-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program