Provider Demographics
NPI:1275559627
Name:DR. GENE POOLE, CHIRROPRACTOR
Entity Type:Organization
Organization Name:DR. GENE POOLE, CHIRROPRACTOR
Other - Org Name:GENE POOLE DC, PC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:EUGENE
Authorized Official - Middle Name:DOUGLAS
Authorized Official - Last Name:POOLE
Authorized Official - Suffix:II
Authorized Official - Credentials:DC
Authorized Official - Phone:559-226-9036
Mailing Address - Street 1:4747 N 1ST ST
Mailing Address - Street 2:SUITE 132
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93726-0563
Mailing Address - Country:US
Mailing Address - Phone:559-226-9036
Mailing Address - Fax:559-226-9054
Practice Address - Street 1:4747 N 1ST ST
Practice Address - Street 2:SUITE 132
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93726-0563
Practice Address - Country:US
Practice Address - Phone:559-226-9036
Practice Address - Fax:559-226-9054
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-15
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA18000111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty