Provider Demographics
NPI:1043496003
Name:GAILES CHIROPRACTIC INC.
Entity Type:Organization
Organization Name:GAILES CHIROPRACTIC INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JARED
Authorized Official - Middle Name:DOUGLAS
Authorized Official - Last Name:GAILES
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:401-245-6007
Mailing Address - Street 1:176 CHILD ST
Mailing Address - Street 2:
Mailing Address - City:WARREN
Mailing Address - State:RI
Mailing Address - Zip Code:02885-2763
Mailing Address - Country:US
Mailing Address - Phone:401-245-6007
Mailing Address - Fax:401-245-6494
Practice Address - Street 1:176 CHILD ST
Practice Address - Street 2:
Practice Address - City:WARREN
Practice Address - State:RI
Practice Address - Zip Code:02885-2763
Practice Address - Country:US
Practice Address - Phone:401-245-6007
Practice Address - Fax:401-245-6494
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-21
Last Update Date:2008-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIDCP00462261QH0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service