Provider Demographics
NPI:1801043443
Name:GIFFORD HEALTH INSTITUTE CORP
Entity Type:Organization
Organization Name:GIFFORD HEALTH INSTITUTE CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:GERALD
Authorized Official - Middle Name:KEVIN
Authorized Official - Last Name:GIFFORD
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:480-813-2906
Mailing Address - Street 1:228 S NEELY ST
Mailing Address - Street 2:
Mailing Address - City:GILBERT
Mailing Address - State:AZ
Mailing Address - Zip Code:85233-6334
Mailing Address - Country:US
Mailing Address - Phone:480-813-2906
Mailing Address - Fax:480-813-2916
Practice Address - Street 1:228 S NEELY ST
Practice Address - Street 2:
Practice Address - City:GILBERT
Practice Address - State:AZ
Practice Address - Zip Code:85233-6334
Practice Address - Country:US
Practice Address - Phone:480-813-2906
Practice Address - Fax:480-813-2916
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-26
Last Update Date:2010-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ4996111NN0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NN0400XChiropractic ProvidersChiropractorNeurologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ1891752382OtherNPI
AZ1891752382OtherNPI