Provider Demographics
NPI:1275161374
Name:STRIVE CHIROPRACTIC AND INTEGRATIVE HEALTH, GILL CORPORATION
Entity Type:Organization
Organization Name:STRIVE CHIROPRACTIC AND INTEGRATIVE HEALTH, GILL CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:HARPAL
Authorized Official - Middle Name:SINGH
Authorized Official - Last Name:GILL
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:312-933-8912
Mailing Address - Street 1:16 CALLE LOYOLA
Mailing Address - Street 2:
Mailing Address - City:SAN CLEMENTE
Mailing Address - State:CA
Mailing Address - Zip Code:92673-7058
Mailing Address - Country:US
Mailing Address - Phone:312-933-8912
Mailing Address - Fax:
Practice Address - Street 1:16 CALLE LOYOLA
Practice Address - Street 2:
Practice Address - City:SAN CLEMENTE
Practice Address - State:CA
Practice Address - Zip Code:92673-7058
Practice Address - Country:US
Practice Address - Phone:312-933-8912
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-04-01
Last Update Date:2020-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty