Gaston, Robert William

Gaston, Robert William is an individual health care provider with primary practice located at 625 2Nd St , Traverse City MI 49684-2220. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Gaston, Robert William can be contacted via phone (231) 922-5060.

Contact Information

Primary practice address
625 2Nd St Traverse City MI 49684-2220
Phone: (231) 922-5060
Fax: (231) 922-5062
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 2301006073 Michigan

Profile Details

NPI number 1518961499
LBN Legal business name Gaston, Robert William
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 9th, 2005
Last updated Jul 25th, 2011 - about 13 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 1518961499 NPPES
Michigan Other P87962 BLUE CARE NETWORK
Michigan Other 0B85444 BLUE CARE NETWORK
Michigan MEDICAID 3085520 BLUE CARE NETWORK

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