Provider Demographics
NPI:1598842015
Name:ALVES, GARY J (DC)
Entity Type:Individual
Prefix:DR
First Name:GARY
Middle Name:J
Last Name:ALVES
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 1:2834 ACUSHNET AVE
Mailing Address - Street 2:
Mailing Address - City:NEW BEDFORD
Mailing Address - State:MA
Mailing Address - Zip Code:02745-3412
Mailing Address - Country:US
Mailing Address - Phone:508-998-3001
Mailing Address - Fax:508-998-1461
Practice Address - Street 1:2834 ACUSHNET AVE
Practice Address - Street 2:
Practice Address - City:NEW BEDFORD
Practice Address - State:MA
Practice Address - Zip Code:02745-3412
Practice Address - Country:US
Practice Address - Phone:508-998-3001
Practice Address - Fax:508-998-1461
Is Sole Proprietor?:No
Enumeration Date:2006-11-01
Last Update Date:2011-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA593111NS0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NS0005XChiropractic ProvidersChiropractorSports Physician
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA1613014Medicaid
MA35035OtherHARVARD PILGRIM
MAY35411OtherBLUE CROSS BLUE SHEILD
MA4401004OtherUNITED HEALTH
MAY35411OtherBLUE CROSS BLUE SHEILD
MA1613014Medicaid