Gifford, Gerald Kevin

Gifford, Gerald Kevin is an sole proprietor health care provider with primary practice located at 2716 E Hopi Avenue , Mesa AZ 85204-6266. He recently has 2 registered licenses in different health care specialties including Chiropractic Providers / Chiropractor, Chiropractic Providers / Neurology. Chiropractic Providers / Neurology is his primary health care specialty. Gifford, Gerald Kevin can be contacted via phone (480) 813-2906.

Contact Information

Primary practice address
2716 E Hopi Avenue Mesa AZ 85204-6266
Phone: (480) 813-2906
Fax: (480) 813-2916
Website:
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Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 4996 Arizona
Chiropractic Providers / Neurology 111NN0400X 4996 Arizona

Profile Details

NPI number 1891752382
LBN Legal business name Gifford, Gerald Kevin
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 27th, 2006
Last updated Dec 9th, 2015 - about 9 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 1891752382 NPPES
Arizona MEDICAID 498502

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