Provider Demographics
NPI:1497715247
Name:GEHLING, DAVID JOSEPH (DC)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:JOSEPH
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 1:405 COLLEGE DR
Mailing Address - Street 2:
Mailing Address - City:DECORAH
Mailing Address - State:IA
Mailing Address - Zip Code:52101-1090
Mailing Address - Country:US
Mailing Address - Phone:563-382-0700
Mailing Address - Fax:563-382-6118
Practice Address - Street 1:405 COLLEGE DR
Practice Address - Street 2:
Practice Address - City:DECORAH
Practice Address - State:IA
Practice Address - Zip Code:52101-1090
Practice Address - Country:US
Practice Address - Phone:563-382-0700
Practice Address - Fax:563-382-6118
Is Sole Proprietor?:No
Enumeration Date:2006-03-24
Last Update Date:2014-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAA05910111N00000X
WI3299111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA0133900Medicaid
IAI12959Medicare ID - Type Unspecified
IAU58482Medicare UPIN