Provider Demographics
NPI:1790878270
Name:SARGEITS, GEORGE (DC, QME)
Entity Type:Individual
Prefix:
First Name:GEORGE
Middle Name:
Last Name:SARGEITS
Suffix:
Gender:M
Credentials:DC, QME
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:NAS LEMOORE HOSPITAL 937 FRANKLIN AVE
Mailing Address - Street 2:
Mailing Address - City:LEMOORE
Mailing Address - State:CA
Mailing Address - Zip Code:93246-0001
Mailing Address - Country:US
Mailing Address - Phone:559-998-2604
Mailing Address - Fax:
Practice Address - Street 1:NAVAL AIR STATION LEMORE HOSPITAL
Practice Address - Street 2:937 FRANKLIN AVENUE
Practice Address - City:LEMOORE
Practice Address - State:CA
Practice Address - Zip Code:93246-0001
Practice Address - Country:US
Practice Address - Phone:559-998-2604
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-02
Last Update Date:2009-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA16047111NX0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NX0800XChiropractic ProvidersChiropractorOrthopedic
Provider Identifiers
StateIdentifier IDID TypeIssuer
CADC160470OtherLIC. NUMBER