Provider Demographics
NPI:1497875900
Name:GILBERT, TRINETTE LOUISE (DC)
Entity Type:Individual
Prefix:
First Name:TRINETTE
Middle Name:LOUISE
Last Name:GILBERT
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:222 FOREST AVE
Mailing Address - Street 2:
Mailing Address - City:PACIFIC GROVE
Mailing Address - State:CA
Mailing Address - Zip Code:93950-3319
Mailing Address - Country:US
Mailing Address - Phone:831-648-8100
Mailing Address - Fax:831-375-5562
Practice Address - Street 1:222 FOREST AVE
Practice Address - Street 2:
Practice Address - City:PACIFIC GROVE
Practice Address - State:CA
Practice Address - Zip Code:93950-3319
Practice Address - Country:US
Practice Address - Phone:831-648-8100
Practice Address - Fax:831-375-5562
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-29
Last Update Date:2022-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CACA24810111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
U80608Medicare UPIN