Provider Demographics
NPI:1326187774
Name:GEHLING, JUSTIN ERWIN (DC)
Entity Type:Individual
Prefix:
First Name:JUSTIN
Middle Name:ERWIN
Last Name:GEHLING
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3340 N 137TH AVE
Mailing Address - Street 2:
Mailing Address - City:LITCHFIELD PARK
Mailing Address - State:AZ
Mailing Address - Zip Code:85340-8400
Mailing Address - Country:US
Mailing Address - Phone:623-535-5752
Mailing Address - Fax:623-535-5742
Practice Address - Street 1:3340 N 137TH
Practice Address - Street 2:
Practice Address - City:LITCHFIELD PARK
Practice Address - State:AZ
Practice Address - Zip Code:85340-8400
Practice Address - Country:US
Practice Address - Phone:623-535-5752
Practice Address - Fax:623-535-5742
Is Sole Proprietor?:No
Enumeration Date:2007-02-05
Last Update Date:2021-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ7600111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZZ105837Medicare PIN
AZV04959Medicare UPIN
AZZ105838Medicare PIN