Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111N00000X | Chiropractor | AZ0234870 | AZ |
N | 111NR0400X | Rehabilitation Chiropractor | AZ0234870 | AZ |
NPI | 1306988993 |
---|---|
Provider Name | Dr. Michael E. Verant |
First Address | Tucson, AZ 85706-3386 |
Second Address | Tucson, AZ 85706-7640 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 12/02/2007 |
Last Update Date | 30/01/2020 |