Gary D Wines is a Chiropractor in Beaumont, California. Gary D Wines practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Gary D Wines is 1760487268. The last update date is 2011-08-02.
Gary D Wines's current location address is 1074 Beaumont Ave, Beaumont, California. You can contact this provider via phone number 9518456456 and fax number 9518457485. The mailing address for Gary D Wines is 1074 Beaumont Ave, Beaumont, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gary D Wines |
|---|---|
| Address | 1074 Beaumont Ave, Beaumont, California |
| Phone Number | 9518456456 |
| Fax Number | 9518457485 |
| Sole Proprietor | Y |
| Credentials | D.C. |
NPI Number Detail
| NPI Number | 1760487268 |
|---|---|
| Provider Enumeration Date | 2005-06-20 |
| Last Updated Date | 2011-08-02 |
Provider Mailing Address Detail
| Address | 1074 Beaumont Ave |
|---|---|
| City | Beaumont |
| State | California (CA) |
| Post Code | 9222318330 |
| Phone Number | 9518456456 |
| Fax Number | 9518457485 |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | DC015440 |
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Definition: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its inte |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| DC015440 | CA | BLUE SHIELD | |
| 4294325 | CA | AETNA |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Gary D Wines by the Centers for Medicare & Medicaid Services?
The Gary D Wines has been assigned the NPI (National Provider Identifier) 1760487268 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Gary D Wines is physically located?
The Gary D Wines is physically situated at the following address: 1074 Beaumont Ave, Beaumont, CA, 9222318330.
What is the Gary D Wines's specialty and taxonomy code?
The Gary D Wines's specialty is Chiropractor, and the corresponding taxonomy code is 111N00000X.
When did the Gary D Wines receive its 1760487268?
The Gary D Wines was issued its 1760487268 on 2005-06-20, which is the date when the organization was assigned this unique identifier.
As of what date was the information regarding Gary D Wines, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Gary D Wines, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2011-08-02.