Carr, Gavin Walter

Carr, Gavin Walter is an individual health care provider with primary practice located at 489 Middlefield Rd , Palo Alto CA 94301-1347. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Carr, Gavin Walter can be contacted via phone (650) 326-7000.

Contact Information

Primary practice address
489 Middlefield Rd Palo Alto CA 94301-1347
Fax: (650) 326-7002
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 19946 California

Profile Details

NPI number 1235240680
LBN Legal business name Carr, Gavin Walter
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2006
Last updated Jul 8th, 2007 - about 17 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 1235240680 NPPES
California Other DC0199460 BLUE SHIELD

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