Gelesko Chiropractic Pllc in Saint Joseph - Sports Physician

Gelesko Chiropractic Pllc - NPI 1639272990

Gelesko Chiropractic Pllc is a Sports Physician in Saint Joseph, Michigan. Gelesko Chiropractic Pllc practices all healthcare services and medical treatments related to Sports Physician. The NPI Number for Gelesko Chiropractic Pllc is 1639272990. The last update date is 2009-03-20.

Gelesko Chiropractic Pllc's current location address is 2820 Niles Rd, Saint Joseph, Michigan. You can contact this provider via phone number 2694291982. The mailing address for Gelesko Chiropractic Pllc is 2820 Niles Rd, Saint Joseph, Michigan. To know further, please read the information below!

Provider Profile Detail

Provider Organization Gelesko Chiropractic Pllc
Address 2820 Niles Rd, Saint Joseph, Michigan
Phone Number 2694291982
Fax Number
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Gelesko John Peter
Credentials DC
Telephone Number 2694291982

NPI Number Detail

NPI Number 1639272990
Provider Enumeration Date 2006-09-05
Last Updated Date 2009-03-20

Provider Mailing Address Detail

Address 2820 Niles Rd
City Saint Joseph
State Michigan (MI)
Post Code 490853355
Phone Number 2694291982
Fax Number

Provider's Primary Taxonomy Detail

Speciality Sports Physician
Taxonomy 111Ns0005X
Licence No 23010091165
Definition:
A sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP)

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
950A111590 MI BCBSMI

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FAQs about Gelesko Chiropractic Pllc

What is the unique 10-digit identifier code assigned to Gelesko Chiropractic Pllc by the Centers for Medicare & Medicaid Services?

The Gelesko Chiropractic Pllc has been issued the NPI (National Provider Identifier) 1639272990 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you share the physical location details of Gelesko Chiropractic Pllc?

The Gelesko Chiropractic Pllc is situated at 2820 Niles Rd, in the city of Saint Joseph, state of MI, with the zip code 490853355.

What is Gelesko Chiropractic Pllc's specialized field of practice, and what is the corresponding taxonomy classification code?

The Gelesko Chiropractic Pllc's area of specialization is Sports Physician, and the corresponding taxonomy code that categorizes this field of practice is 111Ns0005X.

On what date did the Centers for Medicare & Medicaid Services issue the 1639272990 to Gelesko Chiropractic Pllc?

The Gelesko Chiropractic Pllc received its 1639272990 assignment from the Centers for Medicare & Medicaid Services on 2006-09-05.

When was the information pertaining to Gelesko Chiropractic Pllc most recently updated or revised?

The details related to Gelesko Chiropractic Pllc, including its address, specialty, and other relevant information, were last updated or revised on 2009-03-20.

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