Gamache, Gary Bryce
Gamache, Gary Bryce is an sole proprietor health care provider with primary practice located at 2720 W Main St , Rapid City SD 57702-8128. He recently has 2 registered licenses in different health care specialties including Chiropractic Providers / Chiropractor, Other Service Providers / Acupuncturist. Chiropractic Providers / Chiropractor is his primary health care specialty. Gamache, Gary Bryce can be contacted via phone (605) 342-4333.Contact Information
Primary practice address
2720 W Main St
Rapid City SD 57702-8128
Phone: (605) 342-4333
Fax: (605) 348-6420
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Chiropractic Providers / Chiropractor | 111N00000X | 572 | South Dakota |
Other Service Providers / Acupuncturist | 171100000X | 572 | South Dakota |
Profile Details
NPI number | 1104826866 |
---|---|
LBN Legal business name | Gamache, Gary Bryce |
Credentials | DC FIAMA DIPL AC |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jul 26th, 2005 |
Last updated | Nov 6th, 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1104826866 | NPPES |
South Dakota | Other | 0085088 | WELLMARK BCBS |
South Dakota | MEDICAID | 7600140 | WELLMARK BCBS |
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