Bidlack, Gregory

Bidlack, Gregory is an individual health care provider with primary practice located at 18775 N Reems Rd Ste 360, Surprise AZ 85374-8647. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Bidlack, Gregory can be contacted via phone (623) 544-0200.

Contact Information

Primary practice address
18775 N Reems Rd Ste 360 Surprise AZ 85374-8647
Phone: (623) 544-0200
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 3222 Arizona

Profile Details

NPI number 1336297993
LBN Legal business name Bidlack, Gregory
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 8th, 2007
Last updated Sep 29th, 2017 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1336297993 NPPES
Arizona Other AZ0944530 BCBS

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