Olds, Gavin Wade
Olds, Gavin Wade is an individual health care provider with primary practice located at 295 E Renfro St Ste 215 , Burleson TX 76028-3950. He recently has only one registered license in Chiropractic Providers / Rehabilitation, which is considered as his primary health care specialty. Olds, Gavin Wade can be contacted via phone (800) 404-6050.Contact Information
Primary practice address
295 E Renfro St Ste 215
Burleson TX 76028-3950
Phone: (800) 404-6050
Fax: (866) 313-3397
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Rehabilitation | 111NR0400X | 12815 | Texas |
Profile Details
| NPI number | 1942580121 |
|---|---|
| LBN Legal business name | Olds, Gavin Wade |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 19th, 2011 |
| Last updated | Jan 19th, 2024 - about 10 months 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 | 1942580121 | NPPES |
| Texas | Other | 12815 | CHIROPRACTIC LICENSE |
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