Provider Demographics
NPI:1386742823
Name:VERSTREPEN, DEBORAH PETERS (DC)
Entity type:Individual
Prefix:DR
First Name:DEBORAH
Middle Name:PETERS
Last Name:VERSTREPEN
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 1:220 SE FRONTIER AVE
Mailing Address - Street 2:
Mailing Address - City:CEDAREDGE
Mailing Address - State:CO
Mailing Address - Zip Code:81413-4007
Mailing Address - Country:US
Mailing Address - Phone:970-209-3962
Mailing Address - Fax:
Practice Address - Street 1:220 SE FRONTIER AVE
Practice Address - Street 2:
Practice Address - City:CEDAREDGE
Practice Address - State:CO
Practice Address - Zip Code:81413-4007
Practice Address - Country:US
Practice Address - Phone:970-209-3962
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-20
Last Update Date:2023-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAA05710111N00000X
CA21087111N00000X
COCHR.0007540111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor