Kelley, Gary C.
Kelley, Gary C. is an sole proprietor health care provider with primary practice located at 151 N Sunrise Ave Ste 701, Roseville CA 95661-2927. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Kelley, Gary C. can be contacted via phone (916) 786-5828.Contact Information
Primary practice address
151 N Sunrise Ave Ste 701
Roseville CA 95661-2927
Phone: (916) 786-5828
Fax: (916) 786-5055
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | DC 15262 | California |
Profile Details
| NPI number | 1174522635 |
|---|---|
| LBN Legal business name | Kelley, Gary C. |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 18th, 2005 |
| Last updated | May 15th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1174522635 | NPPES |
| California | Other | 350043160 | MEDICARE RAILROAD |
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