Provider Demographics
NPI:1063458453
Name:GARY J. ALVES DC, PC
Entity Type:Organization
Organization Name:GARY J. ALVES DC, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICER
Authorized Official - Prefix:DR
Authorized Official - First Name:GARY
Authorized Official - Middle Name:J
Authorized Official - Last Name:ALVES
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:508-998-3001
Mailing Address - Street 1:2834 ACUSHNET AVE
Mailing Address - Street 2:
Mailing Address - City:NEW BEDFORD
Mailing Address - State:MA
Mailing Address - Zip Code:02745-3412
Mailing Address - Country:US
Mailing Address - Phone:508-998-3001
Mailing Address - Fax:
Practice Address - Street 1:2834 ACUSHNET AVE
Practice Address - Street 2:
Practice Address - City:NEW BEDFORD
Practice Address - State:MA
Practice Address - Zip Code:02745-3412
Practice Address - Country:US
Practice Address - Phone:508-998-3001
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-22
Last Update Date:2011-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA593111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAY39318OtherBCBS
MA35035OtherHARVARD PILGRIM HEALTH CA
MA0021187OtherNEIGHBORHOOD HEALTH PLAN
MA9747893Medicaid