Provider Demographics
NPI:1497535314
Name:GISCHIA HEALTHSOURCE PLLC
Entity Type:Organization
Organization Name:GISCHIA HEALTHSOURCE PLLC
Other - Org Name:HEALTHSOURCE OF HIGHLAND
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:ANDERSON
Authorized Official - Last Name:GISCHIA
Authorized Official - Suffix:SR
Authorized Official - Credentials:DC
Authorized Official - Phone:248-887-8400
Mailing Address - Street 1:2230 E HIGHLAND RD STE A
Mailing Address - Street 2:
Mailing Address - City:HIGHLAND
Mailing Address - State:MI
Mailing Address - Zip Code:48356-2773
Mailing Address - Country:US
Mailing Address - Phone:248-887-8400
Mailing Address - Fax:248-887-7100
Practice Address - Street 1:2230 E HIGHLAND RD STE A
Practice Address - Street 2:
Practice Address - City:HIGHLAND
Practice Address - State:MI
Practice Address - Zip Code:48356-2773
Practice Address - Country:US
Practice Address - Phone:248-887-8400
Practice Address - Fax:248-887-7100
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-29
Last Update Date:2023-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty