Provider Demographics
NPI:1568405173
Name:GEHLING, JOHN PAUL (DC)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:PAUL
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 1:407 7TH STREET SW
Mailing Address - Street 2:
Mailing Address - City:CRESCO
Mailing Address - State:IA
Mailing Address - Zip Code:52136
Mailing Address - Country:US
Mailing Address - Phone:563-547-3553
Mailing Address - Fax:563-547-3552
Practice Address - Street 1:407 7TH STREET SW
Practice Address - Street 2:
Practice Address - City:CRESCO
Practice Address - State:IA
Practice Address - Zip Code:52136
Practice Address - Country:US
Practice Address - Phone:563-547-3553
Practice Address - Fax:563-547-3552
Is Sole Proprietor?:No
Enumeration Date:2006-06-13
Last Update Date:2007-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA06813111N00000X
MN4736111N00000X
WI4162-012111N00000X
IL111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA0738211Medicaid
IAI17919OtherGROUP PIN FOR MEDICARE
IAV09846Medicare UPIN
IA0738211Medicaid