Provider Demographics
NPI:1598833519
Name:GST MANAGEMENT COMPANY
Entity Type:Organization
Organization Name:GST MANAGEMENT COMPANY
Other - Org Name:THOMPSON FAMILY CHIROPRACTIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:APRIL
Authorized Official - Middle Name:T
Authorized Official - Last Name:FRIDLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:540-776-8200
Mailing Address - Street 1:1212 CORPORATE CIR SW
Mailing Address - Street 2:
Mailing Address - City:ROANOKE
Mailing Address - State:VA
Mailing Address - Zip Code:24018-1491
Mailing Address - Country:US
Mailing Address - Phone:540-776-8200
Mailing Address - Fax:
Practice Address - Street 1:1212 CORPORATE CIR SW
Practice Address - Street 2:
Practice Address - City:ROANOKE
Practice Address - State:VA
Practice Address - Zip Code:24018-1491
Practice Address - Country:US
Practice Address - Phone:540-776-8200
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-30
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0104001794111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty