Provider Demographics
NPI:1659661254
Name:AUBREY C. GAIL DCPC
Entity Type:Organization
Organization Name:AUBREY C. GAIL DCPC
Other - Org Name:COMMUNITY CHIROPRACTIC AND WELLNESS CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRES
Authorized Official - Prefix:DR
Authorized Official - First Name:AUBREY
Authorized Official - Middle Name:CARROLL
Authorized Official - Last Name:GAIL
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:207-725-0770
Mailing Address - Street 1:PO BOX 264
Mailing Address - Street 2:
Mailing Address - City:TOPSHAM
Mailing Address - State:ME
Mailing Address - Zip Code:04086-0264
Mailing Address - Country:US
Mailing Address - Phone:207-725-0770
Mailing Address - Fax:207-373-0908
Practice Address - Street 1:49 TOPSHAM FAIR MALL RD
Practice Address - Street 2:SUITE 22
Practice Address - City:TOPSHAM
Practice Address - State:ME
Practice Address - Zip Code:04086-1734
Practice Address - Country:US
Practice Address - Phone:207-725-0770
Practice Address - Fax:207-373-0704
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-04-15
Last Update Date:2013-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
ME1356358667OtherNPI
MEU71506Medicare UPIN