Robert William Gaston in Traverse City - Chiropractor
Robert William Gaston - NPI 1518961499
Robert William Gaston is a Chiropractor in Traverse City, Michigan. Robert William Gaston practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Robert William Gaston is 1518961499. The last update date is 2011-07-25.
Robert William Gaston's current location address is 625 2nd St, Traverse City, Michigan. You can contact this provider via phone number 2319225060 and fax number 2319225062. The mailing address for Robert William Gaston is 625 2nd St, Traverse City, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Robert William Gaston |
|---|---|
| Address | 625 2nd St, Traverse City, Michigan |
| Phone Number | 2319225060 |
| Fax Number | 2319225062 |
| Sole Proprietor | N |
| Credentials | D.C. |
NPI Number Detail
| NPI Number | 1518961499 |
|---|---|
| Provider Enumeration Date | 2005-06-09 |
| Last Updated Date | 2011-07-25 |
Provider Mailing Address Detail
| Address | 625 2nd St |
|---|---|
| City | Traverse City |
| State | Michigan (MI) |
| Post Code | 4968422200 |
| Phone Number | 2319225060 |
| Fax Number | 2319225062 |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | 2301006073 |
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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 |
|---|---|---|---|
| P87962 | MI | BLUE CARE NETWORK | |
| 0B85444 | MI | BCBS OF MI | |
| 3085520 | MI | -- |
Post Comment/ Review Below
What is the Robert William Gaston's 1518961499?
The Robert William Gaston's NPI (National Provider Identifier) Number is 1518961499. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Robert William Gaston's physical address?
The Robert William Gaston is physically located at 625 2Nd St, in the city of Traverse City, MI, with the postal code 4968422200.
What is the Robert William Gaston's area of specialization and corresponding taxonomy classification?
The Robert William Gaston's specialty field is Chiropractor, and it falls under the taxonomy code 111N00000X, which categorizes healthcare providers based on their specialties.
On what date did Robert William Gaston receive its 1518961499 assignment from the Centers for Medicare & Medicaid Services?
The Robert William Gaston was assigned its 1518961499 on 2005-06-09, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the Robert William Gaston's information last updated?
The Robert William Gaston's information was last updated on 2011-07-25.