Provider Demographics
NPI:1396189940
Name:GIEBELL, BENJAMIN GAIL (DC)
Entity Type:Individual
Prefix:DR
First Name:BENJAMIN
Middle Name:GAIL
Last Name:GIEBELL
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 1:110 PERRY BEND CIR APT 207
Mailing Address - Street 2:
Mailing Address - City:EASLEY
Mailing Address - State:SC
Mailing Address - Zip Code:29640-7212
Mailing Address - Country:US
Mailing Address - Phone:803-579-9262
Mailing Address - Fax:
Practice Address - Street 1:8 W LEWIS PLZ
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:SC
Practice Address - Zip Code:29605-2940
Practice Address - Country:US
Practice Address - Phone:803-579-9262
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-04-25
Last Update Date:2021-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC4273111N00000X
SC4743111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor