Provider Demographics
NPI:1760043558
Name:GALLION CHIROPRACTIC PLC
Entity Type:Organization
Organization Name:GALLION CHIROPRACTIC PLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:TINA
Authorized Official - Middle Name:JULAINE
Authorized Official - Last Name:GALLION
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:319-621-6238
Mailing Address - Street 1:890 GROUSE LN
Mailing Address - Street 2:
Mailing Address - City:NORTH LIBERTY
Mailing Address - State:IA
Mailing Address - Zip Code:52317-4855
Mailing Address - Country:US
Mailing Address - Phone:319-621-6238
Mailing Address - Fax:
Practice Address - Street 1:329 10TH AVE SE STE 122
Practice Address - Street 2:
Practice Address - City:CEDAR RAPIDS
Practice Address - State:IA
Practice Address - Zip Code:52401-2338
Practice Address - Country:US
Practice Address - Phone:319-621-6238
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-06-24
Last Update Date:2019-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty