Provider Demographics
NPI:1760680052
Name:CARMICHAEL, GAIL LYNN (DC)
Entity Type:Individual
Prefix:DR
First Name:GAIL
Middle Name:LYNN
Last Name:CARMICHAEL
Suffix:
Gender:F
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:PO BOX 5339
Mailing Address - Street 2:
Mailing Address - City:DAVENPORT
Mailing Address - State:IA
Mailing Address - Zip Code:52808-5339
Mailing Address - Country:US
Mailing Address - Phone:563-484-0799
Mailing Address - Fax:
Practice Address - Street 1:910 6TH AVE
Practice Address - Street 2:
Practice Address - City:DE WITT
Practice Address - State:IA
Practice Address - Zip Code:52742-1331
Practice Address - Country:US
Practice Address - Phone:563-484-0799
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-06
Last Update Date:2010-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2301009315111N00000X
IA007058111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor