Stacey B Gillis in Costa Mesa - Chiropractor
Stacey B Gillis - NPI 1497780225
Stacey B Gillis is a Chiropractor in Costa Mesa, California. Stacey B Gillis practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Stacey B Gillis is 1497780225. The last update date is 2008-08-11.
Stacey B Gillis's current location address is 2200 Harbor Blvd Ste B160, Costa Mesa, California. You can contact this provider via phone number 9495155170 and fax number 9495155173. The mailing address for Stacey B Gillis is 2200 Harbor Blvd Ste B160, Costa Mesa, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Stacey B Gillis |
|---|---|
| Address | 2200 Harbor Blvd Ste B160, Costa Mesa, California |
| Phone Number | 9495155170 |
| Fax Number | 9495155173 |
| Sole Proprietor | Y |
| Credentials | D.C. |
NPI Number Detail
| NPI Number | 1497780225 |
|---|---|
| Provider Enumeration Date | 2006-07-11 |
| Last Updated Date | 2008-08-11 |
Provider Mailing Address Detail
| Address | 2200 Harbor Blvd Ste B160 |
|---|---|
| City | Costa Mesa |
| State | California (CA) |
| Post Code | 926275871 |
| Phone Number | 9495155170 |
| Fax Number | 9495155173 |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | DC28079 |
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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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Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Stacey B Gillis by the Centers for Medicare & Medicaid Services?
The Stacey B Gillis has been issued the NPI (National Provider Identifier) 1497780225 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Stacey B Gillis?
The Stacey B Gillis is physically situated at 2200 Harbor Blvd Ste B160, in the city of Costa Mesa, state of CA, with the postal code 926275871.
What is Stacey B Gillis's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Stacey B Gillis is Chiropractor, and the taxonomy classification code that categorizes this area of expertise is 111N00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1497780225 to Stacey B Gillis?
The Centers for Medicare & Medicaid Services assigned the 1497780225 to Stacey B Gillis on 2006-07-11.
As of what date was the information pertaining to Stacey B Gillis, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Stacey B Gillis, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2008-08-11.